Healthcare Provider Details

I. General information

NPI: 1861809170
Provider Name (Legal Business Name): UGEN LHAMU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2014
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17007 HILLSIDE AVE FL 1
JAMAICA NY
11432-4546
US

IV. Provider business mailing address

17007 HILLSIDE AVE FL 1
JAMAICA NY
11432-4546
US

V. Phone/Fax

Practice location:
  • Phone: 718-489-2224
  • Fax: 718-298-5802
Mailing address:
  • Phone: 718-489-2224
  • Fax: 718-298-5802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number307995
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number307995
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: