Individual
CHINWE IFUDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 LAMBERSON ST, VALLEY STREAM, NY 11580-2635
(917) 941-0436
Mailing address
81 LAMBERSON ST, VALLEY STREAM, NY 11580-2635
(917) 941-0436
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
742278
NY
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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