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NPI Code Detail

MEDICARE: UDUAK ONDA RN

MEDICARE:   UDUAK  ONDA  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
1163WC0400XCase Management Registered Nurse65251901NY

General Provider Information

NPI Number : 1518625466
Entity Type Code : Individual
Provider Name (Legal Business Name) : UDUAK ONDA RN
Provider Business Mailing Address
First Line : 814 TILDEN ST # 1JA
Second Line :
City : BRONX
State : NY
Zip : 10467-6027
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 814 TILDEN ST # 1JA
Second Line :
City : BRONX
State : NY
Zip : 10467-6027
Country : US
Telephone Number : 347-913-2751
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2021
Last Update Date : 12/07/2021

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Directions to “ UDUAK ONDA RN” Practice Location

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