Individual
MS. ROSE C. UBANWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11835 QUEENS BLVD FL 6, FOREST HILLS, NY 11375-7211
(718) 651-7770
Mailing address
11835 QUEENS BLVD FL 6, FOREST HILLS, NY 11375-7211
(718) 651-7770
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
336512
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404175
NY
Other
Enumeration date
10/08/2010
Last updated
11/28/2022
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