Individual
EDMUND UMEBUANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6918 32ND AVE, WOODSIDE, NY 11377-2033
(718) 639-9100
(516) 217-0772
Mailing address
6918 32ND AVE, WOODSIDE, NY 11377-2033
(718) 639-9100
(516) 217-0772
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P126842
NY
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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