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Organization
EAGLE'S PRIDE COMPREHENSIVE HEALTHCARE MEDICAL PC
Active
Organization
EAGLE'S PRIDE COMPREHENSIVE HEALTHCARE MEDICAL PC
Active
Other names
Elite Reform Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IJEOMA ANEKE MD (OWNER)
(516) 355-1388
Entity
Organization
Contact information
Practice address
2209 MERRICK RD STE 100, MERRICK, NY 11566-4770
(516) 355-1388
Mailing address
2209 MERRICK RD STE 100, MERRICK, NY 11566-4770
(516) 355-1388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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