Organization Name: | WAY TO HEALTH MEDICAL P.C. |
NPI Number: | 1366748527 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL C UDOJI (PRESIDENT) |
Mailing Address: | 2565 E 17th St Brooklyn |
State: | NY US |
Postal Code: | 112353530 |
Phone Number: | 3474924084 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2011 |
NPI Last Update Date: | 02/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 132506 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |