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NPI 1053825893

NPI 1053825893 : INFINITE WELLNESS MEDICAL PC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1053825893
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    Entity Type          |    Organization 
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    Legal Business Name  |    INFINITE WELLNESS MEDICAL PC 
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Dates
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    Enumeration Date     |    11/30/2017
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    Last Update Date     |    10/15/2025
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Provider Practice Location Address
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    Address Line         |    20 E 46TH ST FL 9 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10017-9249
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    Country              |    US
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    Telephone            |    212-402-8097
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    Fax                  |    212-402-8098
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Provider Business Mailing Address
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    Address Line         |    14 CLAREMONT AVE 
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    City                 |    LITTLE FERRY
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    State                |    NJ
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    Zip                  |    07643-1355
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    Country              |    US
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    Telephone            |    212-402-8097
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    Fax                  |    212-407-8098
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Authorized Official
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    Title or Position    |    AUTHORIZE OFFICIAL
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    Name                 |     UCHE  AKWUBA II
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    Credential           |    DO
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    Telephone            |    212-402-8097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    NY
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