Individual
UGO EZENKWELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
760 BROADWAY, WOODHULL MEDICAL & MENTAL HEALTH CENTER, BROOKLYN, NY 11206
(718) 963-8000
Mailing address
760 BROADWAY DEPARTMENT OF MANAGED CARE ROOM 2B230, WOODHULL MEDICAL & MENTAL HEALTH CENTER, BROOKLYN, NY 11206
(718) 963-8000
(718) 630-3122
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
227391
NY
Other
Enumeration date
08/26/2005
Last updated
05/19/2014
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