Individual
DR. DEREK F UGWENDUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
355 BARD AVE, DEPT OF MEDICINE, VILLA BUILDING 1ST FLOOR, STATEN ISLAND, NY 10310
(718) 818-2419
Mailing address
355 BARD AVE, DEPARTMENT OF MEDICINE , VILLA BUILDING 1ST FLOOR, STATEN ISLAND, NY 10310-1664
(718) 818-2419
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
338610
NY
Other
Enumeration date
02/01/2019
Last updated
09/22/2025
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