Provider Demographics
NPI:1316838311
Name:NURSE PRACTITIONER FAMILY HEALTH & ACUPUNCTURE WELLNESS SVCS PLLC
Entity type:Organization
Organization Name:NURSE PRACTITIONER FAMILY HEALTH & ACUPUNCTURE WELLNESS SVCS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:MRS
Authorized Official - First Name:UCHENNA
Authorized Official - Middle Name:E
Authorized Official - Last Name:EGWUONWU
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM, FNP, PSYCH NP
Authorized Official - Phone:845-444-1009
Mailing Address - Street 1:2255 STATE ROUTE 32 UNIT 342
Mailing Address - Street 2:
Mailing Address - City:MODENA
Mailing Address - State:NY
Mailing Address - Zip Code:12548-7015
Mailing Address - Country:US
Mailing Address - Phone:845-444-1009
Mailing Address - Fax:
Practice Address - Street 1:114 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-4934
Practice Address - Country:US
Practice Address - Phone:845-444-1009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty