Individual
JUDE NNAMDI IZUKA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 W 38TH ST FL 6, NEW YORK, NY 10018-9537
(212) 695-4564
Mailing address
4104 HILL AVE, BRONX, NY 10466-2106
(212) 316-3828
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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