Individual
MRS. UDUAK GODWIN UMOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4143 MURDOCK AVE, BRONX, NY 10466-2113
(718) 715-1024
(718) 715-1024
Mailing address
4143 MURDOCK AVE, BRONX, NY 10466-2113
(718) 715-1024
(718) 715-1024
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
528565-1
NY
163WS0200X
School Registered Nurse
Primary
528565-1
NY
251300000X
Local Education Agency (LEA)
528565-1
NY
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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