Individual
MR. JUDE U IFEBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 BROADHOLLOW ROAD, SUIT 101, MELVILLE, NY 11747
(631) 393-6172
Mailing address
172 LAKE AVE, STATEN ISLAND, NY 10303-2724
(646) 330-0896
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
296840
NY
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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