Healthcare Provider Details

I. General information

NPI: 1568187185
Provider Name (Legal Business Name): FABIAN EMEKA UWAECHIE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2022
Last Update Date: 10/06/2022
Certification Date: 10/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 BEACH 19TH ST
FAR ROCKAWAY NY
11691-4423
US

IV. Provider business mailing address

17422 142ND AVE
JAMAICA NY
11434-4612
US

V. Phone/Fax

Practice location:
  • Phone: 718-869-5380
  • Fax:
Mailing address:
  • Phone: 347-241-9581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246YC3301X
TaxonomyHospital Based Coding Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: