Provider Demographics
NPI:1558005934
Name:AMEWUDA, AKUVI MLIWOMO
Entity Type:Individual
Prefix:
First Name:AKUVI
Middle Name:MLIWOMO
Last Name:AMEWUDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 ELISSA LN
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-1804
Mailing Address - Country:US
Mailing Address - Phone:914-310-1822
Mailing Address - Fax:
Practice Address - Street 1:56 ELISSA LN
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-1804
Practice Address - Country:US
Practice Address - Phone:914-310-1822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver