Universal Life Church INC
NPI #1780805721 in Staten Island, New York
Provider Information
- NPI Number
- 1780805721
- Entity Type
- Organization
- Organization Name
- Universal Life Church INC
- Primary Specialty
- Religious Nonmedical Health Care Institution
- Enumeration Date
- May 1, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 382 BAY ST
- Address 2
- SUITE #0102
- City
- Staten Island
- State
- New York
- ZIP Code
- 10301-0102
- Phone
- (718) 720-0292
Authorized Official
- Name
- DR. RODOLFO A NICHOLSON JR., MD
- Title
- PRESIDENT & CHIEF CLERGY
- Phone
- (646) 266-4010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Religious Nonmedical Health Care Institution |
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