Individual
ANTHONY UGBALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 BALDWIN AVE, NORTH BALDWIN, NY 11510-2501
(347) 679-3671
Mailing address
450 BALDWIN AVE, NORTH BALDWIN, NY 11510-2501
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
656033
NY
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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