Doctor Name: | IZUKA UDOM-RICE |
NPI Number: | 1639134588 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 169783 |
Business Practice Address: | 8906 135th St Suite 2b Jamaica, NY - 114182821 |
Business Phone Number: | 7182067642 |
Business Fax Number: | 7182066281 |
Mailing Address: | 80 Marcus Dr, MELVILLE |
State: | NY |
Postal Code: | 117474230 |
Phone Number: | 6313918354 |
Fax Number: | 6314544163 |
NPI Enumeration Date: | 04/20/2006 |
NPI Last Update Date: | 07/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 169783 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |