Individual
GAIL NKOLIKA UKATU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
80 W 125TH ST, NEW YORK, NY 10027-4502
(212) 913-0820
Mailing address
1345 RXR PLZ FL 13, UNIONDALE, NY 11556-1301
(516) 453-0435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
296332
NY
208600000X
Surgery Physician
125.062787
IL
Other
Enumeration date
04/09/2013
Last updated
01/14/2019
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