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Individual

FAYONA BRUN-EZEOCHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
964 WOODOAK DRIVE, BALDWIN, NY 11510
(516) 376-7294
Mailing address
964 WOODOAK DRIVE, BALDWIN, NY 11510

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
613390
NY

Other

Enumeration date
07/28/2025
Last updated
07/28/2025
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