Provider Demographics
NPI:1720424625
Name:INWOOD FAMILY PRACTICE AND OSTEOPATHIC MEDICINE P.C.
Entity Type:Organization
Organization Name:INWOOD FAMILY PRACTICE AND OSTEOPATHIC MEDICINE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANATOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUNNOU
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:347-836-2699
Mailing Address - Street 1:101 DOUGHTY BLVD
Mailing Address - Street 2:
Mailing Address - City:INWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11096-2003
Mailing Address - Country:US
Mailing Address - Phone:347-836-2699
Mailing Address - Fax:
Practice Address - Street 1:101 DOUGHTY BLVD
Practice Address - Street 2:
Practice Address - City:INWOOD
Practice Address - State:NY
Practice Address - Zip Code:11096-2003
Practice Address - Country:US
Practice Address - Phone:516-239-2924
Practice Address - Fax:516-239-1609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-17
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258868207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty