Individual
MAUREEN N EZIUZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-7000
Mailing address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-7000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
643664
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F407727
NY
Other
Enumeration date
08/18/2011
Last updated
12/28/2025
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