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NPI Code Detail

MEDICARE: AZUKA ANYOKU, MD DBA FSNNY

MEDICARE: AZUKA ANYOKU, MD DBA FSNNY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician212122NY

General Provider Information

NPI Number : 1598187833
Entity Type Code : Organization
Provider Name (Legal Business Name) : AZUKA ANYOKU, MD DBA FSNNY
Provider Business Mailing Address
First Line : 1420 BUSHWICK AVE
Second Line : SUITE 154
City : BROOKLYN
State : NY
Zip : 11207-1422
Country : US
Telephone Number : 718-455-3036
Fax Number : 718-455-0999
Provider Business Practice Location Address
First Line : 1420 BUSHWICK AVE
Second Line : SUITE 154
City : BROOKLYN
State : NY
Zip : 11207-1422
Country : US
Telephone Number : 718-455-3036
Fax Number : 718-455-0999
Authorized Official
Title or Position : PRESIDENT
Name : DR. AZUKA ANYOKU
Credential : MD
Telephone Number : 718-455-3036
Provider Enumeration Date : 01/06/2014
Last Update Date : 01/06/2014

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