Mr Idaresit James Udofia, LMFT is a
Marriage & Family Therapist based in Roosevelt, New York. Mr Idaresit James Udofia is licensed to practice in New York (license number 002811) and his current practice location is
125 E Greenwich Ave, Roosevelt, New York. He can be reached at his office (for appointments etc.) via phone at
(917) 727-5015.
NPI number for Mr Idaresit James Udofia is 1740100775 and his current mailing address is 125 E Greenwich Ave, Roosevelt, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740100775.
Healthcare Provider's Profile
| Full Name | Mr Idaresit James Udofia |
|---|
| Gender | Male |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 125 E Greenwich Ave, Roosevelt, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740100775
- Provider Enumeration Date: 07/20/2026
- Last Update Date: 07/20/2026
Medical Identifiers
Medical identifiers for Mr Idaresit James Udofia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740100775 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 002811 (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. Mr Idaresit James Udofia 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 Address | Practice Location Address |
Mr Idaresit James Udofia, LMFT 125 E Greenwich Ave, Roosevelt, NY 11575-1221 Ph: Not Available | Mr Idaresit James Udofia, LMFT 125 E Greenwich Ave, Roosevelt, NY 11575-1221 Ph: (917) 727-5015 |
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