Provider Demographics
NPI:1063272516
Name:NDUBUISI, CHINONSO FRANCIS (MD)
Entity type:Individual
Prefix:
First Name:CHINONSO
Middle Name:FRANCIS
Last Name:NDUBUISI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:CHINONSO
Other - Middle Name:
Other - Last Name:OGBURAFOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:211 E MAIN STREET , BATAVIA
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020
Mailing Address - Country:US
Mailing Address - Phone:585-344-5412
Mailing Address - Fax:
Practice Address - Street 1:211 E MAIN STREET
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1631
Practice Address - Country:US
Practice Address - Phone:585-815-6760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-21
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program