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1972604817
SAMUEL IFEANYI OKOROZO
JAMAICA, NY
NPI
1972604817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 004910)
Enumeration Date
2006-09-25
Last Update Date
2007-07-08
Business Address
Mr. SAMUEL IFEANYI OKOROZO PA
82-68 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3225
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Mailing Address
Mr. SAMUEL IFEANYI OKOROZO PA
79-01 BROADWAY MANAGED CARE, D1-01
ELMHURST, NY 11373-1329
Phone number: 718-334-1921
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