=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780487892
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | UZOAMAKA JOSEPHINE ANOSIKE
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/01/2025
-----------------------------------------------------
Last Update Date | 04/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | NYC HEALTH + HOSPITALS/GOTHAM HEALTH ,GUNHILL 1012 E GUN HILL RD
-----------------------------------------------------
City | BRONX
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10469
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-918-8875
-----------------------------------------------------
Fax | 718-918-8885
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 120 DE KRUIF PL APT 2B
-----------------------------------------------------
City | BRONX
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10475-2349
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-237-2600
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | F352345
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Nurse Practitioner
-----------------------------------------------------
License Number | F352345
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------