Provider Demographics
NPI:1558725879
Name:UKPABI, EMMANUEL
Entity Type:Individual
Prefix:MR
First Name:EMMANUEL
Middle Name:
Last Name:UKPABI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 GRECIAN GARDENS DR
Mailing Address - Street 2:APT A
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-2636
Mailing Address - Country:US
Mailing Address - Phone:585-489-0505
Mailing Address - Fax:
Practice Address - Street 1:20 GRECIAN GARDENS DR
Practice Address - Street 2:APT A
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-2636
Practice Address - Country:US
Practice Address - Phone:585-489-0505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)