Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 288353 | NY |
Y | 2080P0203X | Pediatric Critical Care Doctor | 288353 | NY |
NPI | 1073808614 |
---|---|
Provider Name | Dr. Uchechi Ifeoma Oddiri |
First Address | Stony Brook, NY 11794-8111 |
Second Address | Stony Brook, NY 11794-1425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2011 |
Last Update Date | 17/03/2018 |