Individual
UGO UDEOCHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
50 W HAWTHORNE AVE FL 2, VALLEY STREAM, NY 11580-6223
(516) 569-6600
Mailing address
15038 115TH DR, JAMAICA, NY 11434-1502
(718) 496-0634
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403420
NY
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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