Individual
DR. WENDY EZEGBUNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
450 CLARKSON AVENUE, SUNY DOWNSTATE MEDICAL CENTER, BROOKLYN, NY 11203
(178) 270-8867
(178) 270-2408
Mailing address
450 CLARKSON AVENUE, BOX 1262, SUNY DOWNSTATE MEDICAL CENTER, BROOKLYN, NY 11203-2098
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD22737
ME
207RP1001X
Pulmonary Disease Physician
Primary
MD22737
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2012
Last updated
07/25/2019
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