Provider Demographics
NPI:1861629081
Name:ONWUAMAEGBU, GODFREY C (RN)
Entity Type:Individual
Prefix:
First Name:GODFREY
Middle Name:C
Last Name:ONWUAMAEGBU
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2695 BRIGGS AVE
Mailing Address - Street 2:APT F4
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-4006
Mailing Address - Country:US
Mailing Address - Phone:347-824-9350
Mailing Address - Fax:
Practice Address - Street 1:3007 EASTCHESTER RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-3201
Practice Address - Country:US
Practice Address - Phone:718-379-3300
Practice Address - Fax:718-379-3400
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY524478163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse