Provider Demographics
NPI:1801679220
Name:AMUKA, CHIDINMA BLESSING
Entity type:Individual
Prefix:
First Name:CHIDINMA
Middle Name:BLESSING
Last Name:AMUKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 SAINT FRANCIS DR APT A1
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-1738
Mailing Address - Country:US
Mailing Address - Phone:716-370-3788
Mailing Address - Fax:
Practice Address - Street 1:4301 SAINT FRANCIS DR APT A1
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-1738
Practice Address - Country:US
Practice Address - Phone:716-370-3788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi