Individual
CYNTHIA CHIDERA EZENWOSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 E 241ST ST, BRONX, NY 10470-1303
(718) 671-2100
Mailing address
801 E 241ST ST, BRONX, NY 10470-1303
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
348472
NY
Other
Enumeration date
03/06/2024
Last updated
05/28/2024
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