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Mr. Onyedikachukwu K Momah, PA-C
Prescribing (Medical) Psychologist in Bronx, New York
NPI 1740606359

Onyedikachukwu K Momah is a Prescribing (Medical) Psychologist based in Bronx, NY and is specialized in Prescribing (Medical). Onyedikachukwu K Momah practices in Bronx, NY and has the professional credentials of PA-C. The NPI Number for Onyedikachukwu K Momah is 1740606359 and holds a License No. MA056764 (New York).

The current practice location address for Onyedikachukwu K Momah is 548 Throngs Neck Expressway, Bronx, NY and can be reached out via phone at 631-875-4169 and via fax at 866-644-0894.

Location: 548 Throngs Neck Expressway, Bronx, NY, 10465
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740606359
Provider Name
Onyedikachukwu K Momah
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
548 Throngs Neck Expressway, Bronx, NY, 10465
Phone Number
631-875-4169
Fax Number
866-644-0894
Provider Enumeration Date
03/07/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
548 Throngs Neck Expressway
City
Bronx
State
New York
Zip
10465
Phone Number
631-875-4169
Fax Number
866-644-0894
person
Provider Business Mailing Address Details
Address
548 Throngs Neck Expressway
City
Bronx
State
New York
Zip
10465
Phone Number
631-875-4169
Fax Number
866-644-0894
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
122219 (New York)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
MA056764 (Pennsylvania)
Definition
Definition to come...
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