Dr Simon Ibezimchi Udemgba, PHD - Counselor in Albany, NY

Dr Simon Ibezimchi Udemgba, PHD is a Counselor - Mental Health based in Albany, New York. Dr Simon Ibezimchi Udemgba is licensed to practice in New York (license number 005435) and his current practice location is 401 New Karner Rd, Brandon Place, Albany, New York. He can be reached at his office (for appointments etc.) via phone at (518) 456-3614.

NPI number for Dr Simon Ibezimchi Udemgba is 1043582646 and his current mailing address is 523 Michigan Ave, Schenectady, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043582646.

Contact Information

Dr Simon Ibezimchi Udemgba, PHD
401 New Karner Rd, Brandon Place,
Albany, NY 12205-3840
(518) 456-3614
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDr Simon Ibezimchi Udemgba
GenderMale
SpecialityCounselor - Mental Health
Location401 New Karner Rd, Albany, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043582646
  • Provider Enumeration Date: 01/30/2012
  • Last Update Date: 05/31/2013

Medical Identifiers

Medical identifiers for Dr Simon Ibezimchi Udemgba such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043582646NPI-NPPES
005435OtherNYNYS OFFICE OF PROFESSIONS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 005435 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Simon Ibezimchi Udemgba is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Simon Ibezimchi Udemgba, PHD
523 Michigan Ave,
Schenectady, NY 12303-1313

Ph: (518) 374-5336
Dr Simon Ibezimchi Udemgba, PHD
401 New Karner Rd, Brandon Place,
Albany, NY 12205-3840

Ph: (518) 456-3614

Reviews and Comments


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