Healthcare Provider Details

I. General information

NPI: 1033804430
Provider Name (Legal Business Name): URWA TUL VUSQA MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2023
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 CLARKSON AVE # 50
BROOKLYN NY
11203-2012
US

IV. Provider business mailing address

8204 264TH ST
GLEN OAKS NY
11004-1527
US

V. Phone/Fax

Practice location:
  • Phone: 718-270-2353
  • Fax:
Mailing address:
  • Phone: 917-833-7888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number347119
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: