Individual
ANTHONY EZUGWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
936 E 215TH ST, BRONX, NY 10469-1102
(347) 222-9516
Mailing address
936 E 215TH ST, BRONX, NY 10469-1102
(347) 222-9516
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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