Organization
J. R. UDARBE MD P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROBERT UDARBE M.D. (ATTENDING PHYSICIAN)
(516) 336-2560
Entity
Organization
Contact information
Practice address
1010 NORTHERN BLVD, SUITE 208, GREAT NECK, NY 11021-5306
(516) 336-2560
(516) 336-2561
Mailing address
1010 NORTHERN BLVD, SUITE 208, GREAT NECK, NY 11021-5306
(516) 336-2560
(516) 336-2561
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
208198
NY
261QM0855X
Adolescent and Children Mental Health Clinic/Center
208198
NY
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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