Provider Demographics
NPI:1861646150
Name:IROHAM, UZOMA
Entity Type:Individual
Prefix:
First Name:UZOMA
Middle Name:
Last Name:IROHAM
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 1:3515 EASTCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-1670
Mailing Address - Country:US
Mailing Address - Phone:718-944-1776
Mailing Address - Fax:718-944-1779
Practice Address - Street 1:3515 EASTCHESTER RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-1670
Practice Address - Country:US
Practice Address - Phone:718-944-1776
Practice Address - Fax:718-944-1779
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY272574-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse