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Individual

EDGARDO ALVARO UGHOC JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Mailing address
79-81 MAIN ST, YONKERS, NY 10701-2740

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
033457
NY

Other

Enumeration date
12/18/2024
Last updated
01/08/2026
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