Provider Demographics
NPI:1003292822
Name:ABU, UMU (RN)
Entity Type:Individual
Prefix:
First Name:UMU
Middle Name:
Last Name:ABU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 E 222ND ST
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-1214
Mailing Address - Country:US
Mailing Address - Phone:347-449-5475
Mailing Address - Fax:347-449-5475
Practice Address - Street 1:1013 E 222ND ST FL 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-1214
Practice Address - Country:US
Practice Address - Phone:347-449-5475
Practice Address - Fax:347-449-5475
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY592994163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse