Healthcare Provider Details

I. General information

NPI: 1902727654
Provider Name (Legal Business Name): SOPHIA UWECHUE DNP, FNP-BC, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 HEMPSTEAD TPKE
ELMONT NY
11003-1534
US

IV. Provider business mailing address

291 HEMPSTEAD TPKE
ELMONT NY
11003-1534
US

V. Phone/Fax

Practice location:
  • Phone: 516-360-6360
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number838632
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number360559
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: