Provider Demographics
NPI:1730931510
Name:UYI, JOHN O (MHC-LP)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:O
Last Name:UYI
Suffix:
Gender:M
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 SUN VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:BELLPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11713-1136
Mailing Address - Country:US
Mailing Address - Phone:347-615-9217
Mailing Address - Fax:631-286-2164
Practice Address - Street 1:535 CLINTON AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-6589
Practice Address - Country:US
Practice Address - Phone:347-615-9217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP125430101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health