SearchNew York163W00000X

Philomena Mofunanya

NPI 1063808814 · on the registry since 2015 · sole proprietor

Practice

Address
3965 Sedgwick Ave
#10e
Bronx, NY 10463
Phone
(718) 496-1654
Organisation at this address
Az Medical Services Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-04-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York