Individual
EPIE NTUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1276 FULTON AVE, BRONX, NY 10456-3402
(718) 901-8219
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME146675
FL
Other
Enumeration date
07/17/2015
Last updated
09/28/2021
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