Individual ProviderJohn I MmaduabuchiStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address169 Riverside Dr, Binghamton, NY 13905-4246(607) 798-5897PECOS EnrollmentBased on the most recent information from CMS, provider John I Mmaduabuchi does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1780436816Provider TypeIndividualFull NameMmaduabuchi, John IGenderMaleSole ProprietorNoEnumeration Date4/2/2024Last Updated4/2/2024Contact InformationPractice LocationPractice Address169 Riverside Dr, Binghamton, NY 13905-4246Phone(607) 798-5897FaxUnlisted FaxMailing LocationMailing Address169 Riverside Dr, Binghamton, NY 13905-4246Phone(607) 798-5897FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer