Individual
AMALACHUKWU EZEUDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10542 FLATLANDS 9TH ST, BROOKLYN, NY 11236-4624
(917) 763-8370
Mailing address
10542 FLATLANDS 9TH ST, BROOKLYN, NY 11236-4624
(917) 763-8370
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
109791
NY
224Z00000X
Occupational Therapy Assistant
004178
NY
Other
Enumeration date
03/03/2020
Last updated
04/13/2023
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