Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 278083 | NY |
NPI | 1003110180 |
---|---|
Provider Name | Ella Uvadyeva |
First Address | Westbury, NY 11590-5114 |
Second Address | Mineola, NY 11501-2530 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2011 |
Last Update Date | 07/07/2021 |