Provider Demographics
NPI:1003110180
Name:UVADYEVA, ELLA (MD)
Entity Type:Individual
Prefix:
First Name:ELLA
Middle Name:
Last Name:UVADYEVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 MERCHANTS CONCOURSE STE 216
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-5114
Mailing Address - Country:US
Mailing Address - Phone:516-226-8373
Mailing Address - Fax:844-632-8265
Practice Address - Street 1:173 MINEOLA BLVD STE 200
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-2530
Practice Address - Country:US
Practice Address - Phone:516-741-4321
Practice Address - Fax:516-741-2502
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-04
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY278083207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology