Provider Demographics
NPI:1962877076
Name:OBOH, UCHE ROSARIO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:UCHE
Middle Name:ROSARIO
Last Name:OBOH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:UCHE
Other - Middle Name:ROSARIO
Other - Last Name:OBOH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARM D
Mailing Address - Street 1:NYC HEALTH & HOSPITALS GOTHAM HEALTH CENTER
Mailing Address - Street 2:2094 PITKIN AVENUE
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207
Mailing Address - Country:US
Mailing Address - Phone:718-240-0540
Mailing Address - Fax:
Practice Address - Street 1:NYC HEALTH & HOSPITALS GOTHAM HEALTH CENTER
Practice Address - Street 2:2094 PITKIN AVENUE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207
Practice Address - Country:US
Practice Address - Phone:718-240-0540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-01
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03688600183500000X
NY060526183500000X
NMRP00008514183500000X
TX58331183500000X
GARPH029562183500000X
CTPCT.0013204183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist