Individual
MS. NGOZI IFEYINWA MUNACHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
253 S LONG BEACH AVE, FREEPORT, NY 11520
(516) 623-7542
Mailing address
253 S LONG BEACH AVE, FREEPORT, NY 11520-4327
(516) 623-7542
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
412732-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F304443-1
NY
Other
Enumeration date
09/27/2013
Last updated
07/02/2018
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