Udom-Rice, Izuka P

Udom-Rice, Izuka P is an sole proprietor health care provider with primary practice located at 11811 Guy R Brewer Blvd , Jamaica NY 11434. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is her primary health care specialty. Udom-Rice, Izuka P can be contacted via phone (718) 945-7150.

Contact Information

Primary practice address
11811 Guy R Brewer Blvd Jamaica NY 11434
Phone: (718) 945-7150
Fax: (718) 978-6888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 169783 New York
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 169783 New York

Profile Details

NPI number 1639134588
LBN Legal business name Udom-Rice, Izuka P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2006
Last updated Jul 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639134588 NPPES
New York MEDICAID 01023505

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