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NPI Code Detail

MEDICARE: MS. CHINYE N UZOR RN

MEDICARE:  MS. CHINYE N UZOR  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse22 581405NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
122 581405OTHERNYRN

General Provider Information

NPI Number : 1104114032
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHINYE N UZOR RN
Provider Business Mailing Address
First Line : 165 ITHACA ST
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-4606
Country : US
Telephone Number : 817-455-9057
Fax Number :
Provider Business Practice Location Address
First Line : 165 ITHACA ST
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-4606
Country : US
Telephone Number : 817-455-9057
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2011
Last Update Date : 07/12/2011

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Directions to “ MS. CHINYE N UZOR RN” Practice Location

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