Individual
NONYELUM ERICA EBIGBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-4636
Mailing address
2655 TAYLOR RD, SAN BERNARDINO, CA 92404-4448
(323) 770-6715
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
IN TRAINING
NY
Other
Enumeration date
04/08/2015
Last updated
04/08/2015
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