Nova Vita Medical PC
Allergy & Immunology in Brooklyn, NY. Organization (NPI-2).
NPI number1760907166
StatusActive
Last updated in NPPESMay 22, 2018
Details
- NPI
- 1760907166
- Entity type
- Organization (NPI-2)
- Legal business name
- Nova Vita Medical PC
- Organization subpart
- No
- Enumeration date
- Aug 7, 2017
- Last updated
- May 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207K00000X | Allergy & Immunology | – | – | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – |
Practice location
887 Rutland RdBrooklyn, NY 11203
Phone 347-627-6385 · Fax 347-413-9888
Mailing address
887 Rutland RdBrooklyn, NY 11203-1911
Phone 347-627-6385 · Fax 347-413-9888
Authorized official
Ubong Jackson Udoyen
MD
8032697381
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