Provider Demographics
NPI:1467006346
Name:ANYEJI, URENNA LYDIA
Entity Type:Individual
Prefix:DR
First Name:URENNA
Middle Name:LYDIA
Last Name:ANYEJI
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:URENNA
Other - Middle Name:LYDIA
Other - Last Name:NJINMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:506 LENOX AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-1889
Mailing Address - Country:US
Mailing Address - Phone:212-933-2976
Mailing Address - Fax:212-393-3536
Practice Address - Street 1:506 LENOX AVE # MLK11101
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1889
Practice Address - Country:US
Practice Address - Phone:212-939-2976
Practice Address - Fax:212-939-3536
Is Sole Proprietor?:No
Enumeration Date:2019-07-29
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program