Individual
CHIKAODILI EZEDUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
594 ROUTE 216, STORMVILLE, NY 12582-5151
(845) 221-2711
Mailing address
3 HOUGHTAILING LN, WALLKILL, NY 12589-3973
(845) 476-0733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
541798
NY
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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