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NPI Code Detail

MEDICARE: CHUKWUKELUE NWABUEZE UCHEFUNA MD

MEDICARE:   CHUKWUKELUE NWABUEZE UCHEFUNA  MD
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
1207R00000XInternal Medicine PhysicianP130766NY

General Provider Information

NPI Number : 1407683899
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHUKWUKELUE NWABUEZE UCHEFUNA MD
Provider Business Mailing Address
First Line : 6136 170TH ST APT M4
Second Line :
City : FRESH MEADOWS
State : NY
Zip : 11365-1957
Country : US
Telephone Number : 718-709-0940
Fax Number :
Provider Business Practice Location Address
First Line : 70 FATHER CAPODANNO BLVD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10305-4803
Country : US
Telephone Number : 718-273-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2024
Last Update Date : 09/18/2024

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Directions to “ CHUKWUKELUE NWABUEZE UCHEFUNA MD” Practice Location

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