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NPI Code Detail

MEDICARE: MR. EMMANUEL UKPABI

MEDICARE: MR. EMMANUEL UKPABI
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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1558725879
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EMMANUEL UKPABI
Provider Business Mailing Address
First Line : 20 GRECIAN GARDENS DR
Second Line : APT A
City : ROCHESTER
State : NY
Zip : 14626-2636
Country : US
Telephone Number : 585-489-0505
Fax Number :
Provider Business Practice Location Address
First Line : 20 GRECIAN GARDENS DR
Second Line : APT A
City : ROCHESTER
State : NY
Zip : 14626-2636
Country : US
Telephone Number : 585-489-0505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2016
Last Update Date : 04/12/2016

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