Provider Demographics
NPI:1013278191
Name:UDOD, MADELINE FRANCES (MS, SPED)
Entity Type:Individual
Prefix:MRS
First Name:MADELINE
Middle Name:FRANCES
Last Name:UDOD
Suffix:
Gender:F
Credentials:MS, SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 BEECH AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11738-1604
Mailing Address - Country:US
Mailing Address - Phone:631-696-0423
Mailing Address - Fax:
Practice Address - Street 1:32 BEECH AVE
Practice Address - Street 2:
Practice Address - City:FARMINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:11738-1604
Practice Address - Country:US
Practice Address - Phone:631-696-0423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist