Individual
DR. EWAENOSA ESOHE ISIDAHOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
330992
NY
Other
Enumeration date
06/04/2021
Last updated
11/22/2024
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