Provider Demographics
NPI:1134482540
Name:UKWUBIWE, MARGARET EKWUTOSI (MA,SAS,MPA,SDA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:EKWUTOSI
Last Name:UKWUBIWE
Suffix:
Gender:F
Credentials:MA,SAS,MPA,SDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11602 225TH ST
Mailing Address - Street 2:CAMBRIA HEIGHTS
Mailing Address - City:CAMBRIA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11411-1711
Mailing Address - Country:US
Mailing Address - Phone:718-781-0214
Mailing Address - Fax:
Practice Address - Street 1:116-02 225STREET
Practice Address - Street 2:
Practice Address - City:CAMBRIA HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11411
Practice Address - Country:US
Practice Address - Phone:718-781-0214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY17440000X171M00000X
174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No174400000XOther Service ProvidersSpecialist