Provider Demographics
NPI:1255854279
Name:AKPOWOWO, ENO EUCHARIA (MD)
Entity Type:Individual
Prefix:
First Name:ENO
Middle Name:EUCHARIA
Last Name:AKPOWOWO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 HEMPSTEAD TPKE STE 121
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-1331
Mailing Address - Country:US
Mailing Address - Phone:516-520-2900
Mailing Address - Fax:516-520-1999
Practice Address - Street 1:1136 FORTUNE CT
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-2759
Practice Address - Country:US
Practice Address - Phone:646-329-4139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-21
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY307014207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine