Organization
STANLEY IKEZI, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY IKEZI MD (OWNER)
(516) 800-5474
Entity
Organization
Contact information
Practice address
188 18 LINDEN BLVD, SAINT ALBANS, NY 11412-4028
(516) 800-5474
Mailing address
188 18 LINDEN ST, SAINT ALBANS, NY 11412
(516) 800-5474
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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