MEDICARE: DR. DANIEL OGWO D.P.M.

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	NOO5958	NY

General Provider Information

NPI Number	:	1649241431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL OGWO D.P.M.

Provider Business Mailing Address
First Line	:	3616 HENRY HUDSON PKWY
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-1505
Country	:	US
Telephone Number	:	347-601-0999
Fax Number	:	718-884-8430

Provider Business Practice Location Address
First Line	:	3616 HENRY HUDSON PKWY
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-1505
Country	:	US
Telephone Number	:	347-601-0999
Fax Number	:	718-884-8430

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	02/02/2009

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