Individual
DR. IFEOMA ERNESTINA EZEKWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3013 GRAND CONCOURSE, BRONX, NY 10468-1428
(718) 367-7888
(718) 733-5744
Mailing address
3013 GRAND CONCOURSE, BRONX, NY 10468-1428
(718) 367-7888
(718) 733-5744
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
156622
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00799959
—
NY
Enumeration date
05/23/2007
Last updated
07/09/2007
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