Individual
EKWUTOS PAULINE NWEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 BROADWAY # H2-04, ELMHURST, NY 11373-1329
(718) 334-3054
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-3721
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F342903
NY
Other
Enumeration date
03/20/2019
Last updated
06/24/2020
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