Individual
IDARESIT UDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
210 WESTCHESTER AVE, WHITE PLAINS, NY 10604-2901
(914) 681-3100
Mailing address
210 WESTCHESTER AVE, WHITE PLAINS, NY 10604-2901
(914) 681-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
281425
NY
Other
Enumeration date
09/11/2012
Last updated
08/20/2015
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