Most Relevant Information
Provider Data
| NPI Number: | 1003678731 |
| Provider Name: | CHINELO GEOVITA UGBOAJA NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 383468 |
Most Important Dates
| Enumeration Date: | 01/29/2024 |
| Last Updated: | 01/29/2024 |
Provider Practice Location
1164 E 221ST ST
BRONX
NY
104691525
Practice Location Phone/Fax
| Phone: | 3476010398 |
| Fax: |
Provider Mailing Location
1164 E 221ST ST
BRONX
NY
104691525
Provider Mailing Phone/Fax
| Phone: | 3476010398 |
| Fax: |