Individual
UCHE DIEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4013 AVENUE U, BROOKLYN, NY 11234-5117
(718) 692-4100
Mailing address
981 US HIGHWAY 22 FL 2, BRIDGEWATER, NJ 08807-2946
(201) 801-7141
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009278
NY
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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