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NPI Code Detail

MEDICARE: BRIDGET UDEANI

MEDICARE:   BRIDGET  UDEANI
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
1164W00000XLicensed Practical Nurse354703NY

General Provider Information

NPI Number : 1841140373
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIDGET UDEANI
Provider Business Mailing Address
First Line : 770 E 165TH ST APT 4P
Second Line :
City : BRONX
State : NY
Zip : 10456-7014
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 770 E 165TH ST APT 4P
Second Line :
City : BRONX
State : NY
Zip : 10456-7014
Country : US
Telephone Number : 347-965-4271
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “ BRIDGET UDEANI ” Practice Location

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