Basic Information
Provider Information
NPI: 1245736651
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ASONYE
FirstName: IFEYINWA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 320 W 38TH ST APT 1109
Address2:  
City: NEW YORK
State: NY
PostalCode: 100185233
CountryCode: US
TelephoneNumber: 2028022544
FaxNumber:  
Practice Location
Address1: 177 FORT WASHINGTON AVE
Address2: INTERNAL MEDICINE RESIDENCY OFFICE, FLOOR 6, CENTER 12
City: NEW YORK
State: NY
PostalCode: 10032
CountryCode: US
TelephoneNumber: 2123056262
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/04/2018
LastUpdateDate: 05/23/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/16/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400X312590NYY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


Home