| Ferdinand A Ofodile, MD | |
|
4048 Junction Blvd # 1fl, Corona, NY 11368-2122 | |
| (718) 651-2843 | |
| (718) 651-2846 |
| Full Name | Ferdinand A Ofodile |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 4048 Junction Blvd # 1fl, Corona, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457462871 | NPI | - | NPPES |
| 0700512 | Other | NY | GHI |
| 109189 | Other | NY | HIP |
| P402322 | Other | NY | OXFORD |
| 7918448 | Other | NY | AETNA |
| B00214 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 109189-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ferdinand A Ofodile, MD 4048 Junction Blvd # 1fl, Corona, NY 11368-2122 Ph: (718) 651-2843 | Ferdinand A Ofodile, MD 4048 Junction Blvd # 1fl, Corona, NY 11368-2122 Ph: (718) 651-2843 |
Rosendo Segundo Icochea, Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 40-23 A Junction Blvd, Corona, NY 11368 Phone: 718-672-2522 Fax: 718-779-0782 |