Provider Demographics
NPI:1023448792
Name:AUDU, MUINAT
Entity type:Individual
Prefix:MRS
First Name:MUINAT
Middle Name:
Last Name:AUDU
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 1:11437 220TH ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11411-1165
Mailing Address - Country:US
Mailing Address - Phone:646-594-0220
Mailing Address - Fax:
Practice Address - Street 1:11437 220TH ST
Practice Address - Street 2:
Practice Address - City:CAMBRIA HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11411-1165
Practice Address - Country:US
Practice Address - Phone:646-594-0220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-18
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist