Individual
CHRISTIANA I EZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1118
(516) 321-3010
Mailing address
257 ERLANGER BLVD, NORTH BABYLON, NY 11703-1006
(631) 575-0586
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F343476
NY
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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