Provider Demographics
NPI:1871927798
Name:CHIJIOKE, ESTHER UGONMA (MD)
Entity type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:UGONMA
Last Name:CHIJIOKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:UGOAGHA
Other - Middle Name:UGONMA
Other - Last Name:CHIMBO-OSUAGWU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:101 W 147TH ST
Mailing Address - Street 2:APARTMENT 2 E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10039-4301
Mailing Address - Country:US
Mailing Address - Phone:347-591-6274
Mailing Address - Fax:
Practice Address - Street 1:101 W 147TH ST APT 2E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10039-4367
Practice Address - Country:US
Practice Address - Phone:347-591-6274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-27
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY290646207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine