Basic Information
| Provider Information | |||||||||
| NPI: | 1659589422 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | UZOSIKE | ||||||||
| FirstName: | CHINENYE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 815 AMSTERDAM AVE | ||||||||
| Address2: | |||||||||
| City: | ROSELLE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 072032303 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 600 S LIVINGSTON AVE | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | LIVINGSTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070395419 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8005303247 | ||||||||
| FaxNumber: | 9737409007 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 227800000X | 43ZA00448800 | NJ | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified |
No ID Information.