Individual
CONSOLATA UGOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2940 YATES AVE, BRONX, NY 10469-5227
(347) 584-9107
Mailing address
2940 YATES AVE, BRONX, NY 10469-5227
(347) 584-9107
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
763185
NY
164W00000X
Licensed Practical Nurse
330759
NY
Other
Enumeration date
03/06/2018
Last updated
06/11/2025
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