Individual
NANCY EZEDIARO-EFOBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1780 STILLWELL AVENUE, BRONX, NY 10469-6409
(718) 652-9790
Mailing address
30 ALBERMARLE AVE, NEW ROCHELLE, NY 10801-2001
(914) 576-1415
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
548739
NY
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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