Organization
IFEOMA EZEKWO,M.D.
Active
Other names
Bronx Eye Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IFEOMA ERNESTINA EZEKWO M.D. (OWNER)
(718) 367-7888
Entity
Organization
Contact information
Practice address
3013 GRAND CONCOURSE, BRONX, NY 10468-1428
(718) 367-7888
Mailing address
3013 GRAND CONCOURSE, BRONX, NY 10468-1428
(718) 367-7888
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
156622
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0799959
—
NY
Enumeration date
03/02/2011
Last updated
03/02/2011
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