Provider Demographics
NPI:1598805244
Name:NNADI, NGOZI EDITH (MD)
Entity Type:Individual
Prefix:MISS
First Name:NGOZI
Middle Name:EDITH
Last Name:NNADI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:206 ZABRISKIE PL
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07646-2920
Mailing Address - Country:US
Mailing Address - Phone:201-951-7148
Mailing Address - Fax:718-221-4569
Practice Address - Street 1:1819 BERGEN ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233-4513
Practice Address - Country:US
Practice Address - Phone:718-221-4500
Practice Address - Fax:718-221-4569
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2311032084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry