Provider Demographics
NPI:1215250436
Name:INWELEGBU, UGO
Entity type:Individual
Prefix:
First Name:UGO
Middle Name:
Last Name:INWELEGBU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9016 GRACE CT
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-3827
Mailing Address - Country:US
Mailing Address - Phone:718-206-7099
Mailing Address - Fax:
Practice Address - Street 1:9016 GRACE CT
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-3827
Practice Address - Country:US
Practice Address - Phone:718-206-7099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-02
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY624222163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse