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EZINNE K UDUMA
NPI 1053163188
Student in an Organized Health Care Education/Training Program in Port Jefferson, NY

Active since April 02, 2024
75 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 473-1320 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ezinne K Uduma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EZINNE K UDUMA (NPI 1053163188) is an individual student in an organized health care education/training program in Port Jefferson, New York and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1053163188
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEZINNE K UDUMA
Location Address75 N COUNTRY RDPort Jefferson, NY 11777-2119
Mailing Address75 N Country RdPort Jefferson, NY 11777-2119 · (631) 473-1320
Phone(631) 473-1320
Sole ProprietorYes
Enumeration DateApril 2, 2024
NPPES CertifiedApril 2, 2024
✔ NPI 1053163188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

75 N COUNTRY RD, Port Jefferson, NY 11777
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTINA CATHERINE MELLONE DO
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320
AAKAASH VARMA MD
Dermatology
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
KRISELA VOJNIKU MD
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
LORETTA DIDWELL
Physician Assistant
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320
RAYMOND WONG
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-7654
KATLYN ANN CONVILLE ANTHONY NP
Nurse Practitioner (Family)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2565
SHEHNAZ WASIM MD
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-1443
JULIA KOROBENKO DO
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ezinne Uduma's NPI number?

The NPI number for Ezinne Uduma is 1053163188. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Where is Ezinne Uduma located?

Ezinne Uduma practices at 75 N Country Rd, Port Jefferson, NY 11777. The listed phone number is (631) 473-1320.

What is Ezinne Uduma's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ezinne Uduma was last updated on April 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.