Most Relevant Information
Provider Data
| NPI Number: | 1003043522 |
| Provider Name: | DOMINIC ANOSIKE |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 289654 |
Most Important Dates
| Enumeration Date: | 06/11/2009 |
| Last Updated: | 11/21/2014 |
Provider Practice Location
1600 PELHAM PKWY S
BRONX
NY
104611103
Practice Location Phone/Fax
| Phone: | 7189184850 |
| Fax: |
Provider Mailing Location
1234 SHAKESPEARE AVE
3C
BRONX
NY
104523908
Provider Mailing Phone/Fax
| Phone: | 7185374484 |
| Fax: |