Provider Demographics
NPI:1164436424
Name:ONYEIKE, GODWIN (DO)
Entity Type:Individual
Prefix:DR
First Name:GODWIN
Middle Name:
Last Name:ONYEIKE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24111 147TH AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11422-2455
Mailing Address - Country:US
Mailing Address - Phone:718-978-8667
Mailing Address - Fax:718-276-3685
Practice Address - Street 1:24111 147TH AVE
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:NY
Practice Address - Zip Code:11422-2455
Practice Address - Country:US
Practice Address - Phone:718-978-8667
Practice Address - Fax:718-276-3685
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205649207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology