Individual
JOY C UFOMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
435 E 5TH ST STE 2, MOUNT VERNON, NY 10553-2004
(718) 798-3630
(347) 945-4686
Mailing address
1137 E 224TH ST, BRONX, NY 10466-5834
(718) 798-3630
(347) 945-4686
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04781742
—
NY
Enumeration date
04/16/2019
Last updated
04/16/2019
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