Individual provider · Type 1 NPI

Ellyagape Paul Urassa

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1629965157 Active

Practice location

St. Barnabas Hospital, 4422 Third Avenue, Mills Building, 4th Floor, Room 406
Bronx, NY 10457-2594

Call (718) 960-6635 Map

Fax (718) 960-9418

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629965157

Ellyagape Paul Urassa's National Provider Identifier is 1629965157, issued on Jun 18, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Mar 18, 2026.