Individual
BARTHOLOMEW NNAMDI EZEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3716 3RD AVE APT 4G, BRONX, NY 10456-2163
(646) 644-7582
Mailing address
1 SUMMIT AVE FL 3, WHITE PLAINS, NY 10606-3003
(646) 644-7582
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
761433-1
NY
164W00000X
Licensed Practical Nurse
Primary
317356-1
NY
Other
Enumeration date
02/06/2014
Last updated
02/28/2019
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