| Organization Name: | CHITTENANGO MEDICAL AND WELLNESS ASSOCIATES |
| NPI Number: | 1518016997 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IFECHUKWUDE OJUGBELI (CEO) |
| Mailing Address: | 304 Genesee St Chittenango |
| State: | NY US |
| Postal Code: | 130371707 |
| Phone Number: | 3156876467 |
| Fax Number: | 3156876041 |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |