Udell, Ira Jeffrey

Udell, Ira Jeffrey is an individual health care provider with primary practice located at 8268 164Th St , Jamaica NY 11432-1121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Udell, Ira Jeffrey can be contacted via phone (718) 883-3225.

Contact Information

Primary practice address
8268 164Th St Jamaica NY 11432-1121
Phone: (718) 883-3225
Fax: (718) 883-6193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 121876 New York

Profile Details

NPI number 1043393481
LBN Legal business name Udell, Ira Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043393481 NPPES
New York MEDICAID 00246075

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