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NPI Code Detail

MEDICARE: PROMIE UDDIN

MEDICARE: PROMIE UDDIN
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
1104100000XSocial Worker131125-01NY

General Provider Information

NPI Number : 1700710407
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROMIE UDDIN
Provider Business Mailing Address
First Line : 10435 110TH ST
Second Line :
City : SOUTH RICHMOND HILL
State : NY
Zip : 11419-2411
Country : US
Telephone Number : 929-431-4627
Fax Number :
Provider Business Practice Location Address
First Line : 8403 57TH AVE
Second Line :
City : ELMHURST
State : NY
Zip : 11373-4833
Country : US
Telephone Number : 718-899-9060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “ PROMIE UDDIN ” Practice Location

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