Individual
DR. SUSAN CHUKWUCHEBEANYI UYANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 COMPUTER DR W STE 105, ALBANY, NY 12205-1632
(518) 818-0001
Mailing address
3 COMPUTER DR W STE 105, ALBANY, NY 12205-1632
(518) 818-0001
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
265440
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04464586
—
NY
Enumeration date
09/14/2012
Last updated
10/11/2021
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