Individual
UTRA BUDHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD, MELVILLE, NY 11747-4822
(631) 385-7780
Mailing address
9717 SANDERS PL, JAMAICA, NY 11435-4618
(347) 682-9451
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456789
ACHIEVE BEYOND
NY
Enumeration date
12/07/2021
Last updated
12/07/2021
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