Individual
BONIFACE EZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
352 MARION ST, BROOKLYN, NY 11233-2404
(917) 209-7084
Mailing address
352 MARION ST, BROOKLYN, NY 11233-2404
(917) 209-7084
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
071093
NY
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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