Fons Alex Amaye-obu, MD | |
179 N Broad St, Norwich, NY 13815-1019 | |
(607) 337-4212 | |
(607) 336-8466 |
Full Name | Fons Alex Amaye-obu |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 179 N Broad St, Norwich, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730258005 | NPI | - | NPPES |
01605352 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 190017 (New York) | Primary |
Entity Name | Brookdale Hospital Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720028772 PECOS PAC ID: 4284545799 Enrollment ID: O20031120000600 |
Entity Name | Westchester Medical Center Advanced Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912131392 PECOS PAC ID: 3173660776 Enrollment ID: O20091031000042 |
Mailing Address | Practice Location Address |
---|---|
Fons Alex Amaye-obu, MD 179 N Broad St, Norwich, NY 13815-1019 Ph: (607) 337-4212 | Fons Alex Amaye-obu, MD 179 N Broad St, Norwich, NY 13815-1019 Ph: (607) 337-4212 |
Rosita Ng Aquino, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 105 Campbell Rd, Norwich, NY 13815 Phone: 607-336-1550 | |
Vladimir F. Breslau, DO, PHD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 179 N Broad St, Norwich, NY 13815 Phone: 607-337-4218 Fax: 607-337-4064 | |
Alyssa Clare Macintosh, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 179 N Broad St, Norwich, NY 13815 Phone: 607-337-4218 | |
Phyllis Sheriff-white, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 179 N Broad St, Norwich, NY 13815 Phone: 607-337-4271 Fax: 607-337-4049 | |
Dr. Timothy James Corey, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 179 N Broad St, Norwich, NY 13815 Phone: 607-337-4218 |