Organization
JERRY UDUEVBO, M.D., P.C.
Active
Other names
NEW YORK MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY UDUEVBO M.D. (MEDICAL DIRECTOR)
(718) 427-6160
Entity
Organization
Contact information
Practice address
2503 CHURCH AVE, BROOKLYN, NY 11226-4060
(718) 427-6160
Mailing address
2503 CHURCH AVE, BROOKLYN, NY 11226-4060
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
249063
NY
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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