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Individual

DR. IZUKA P UDOM-RICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11811 GUY R BREWER BLVD, JAMAICA, NY 11434
(718) 945-7150
(718) 978-6888
Mailing address
8515 MAIN ST, BRIARWOOD, NY 11435-1879
(516) 459-3329
(718) 978-6888

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
169783
NY
207VM0101X
Maternal & Fetal Medicine Physician
Primary
169783
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01023505
NY
Enumeration date
04/20/2006
Last updated
07/12/2024
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