Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 237057 | MA |
Y | 207T00000X | Neurosurgeon | 292729 | NY |
N | 207T00000X | Neurosurgeon | 97860 | NY |
NPI | 1043541956 |
---|---|
Provider Name | Dr. Victor Chukwuemeka Udekwu |
First Address | New Hartford, NY 13413 |
Second Address | New Hartford, NY 13413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2010 |
Last Update Date | 26/09/2019 |