MEDICARE: U & U MEDICAL PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1154624633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	U & U MEDICAL PC

Provider Business Mailing Address
First Line	:	3023 AVE V
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229
Country	:	US
Telephone Number	:	718-513-1400
Fax Number	:

Provider Business Practice Location Address
First Line	:	3023 AVE V
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229
Country	:	US
Telephone Number	:	718-513-1400
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. ADEOLA UTHMAN
Credential	:	M.D.
Telephone Number	:	718-513-1400

Provider Enumeration Date	:	12/06/2010
Last Update Date	:	12/06/2010

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