Individual
JOSEPH NWABUEZE EZEKWEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 DUMONT AVE, STATEN ISLAND, NY 10305-1450
(908) 636-3113
Mailing address
716 FIELD AVE # F9, PLAINFIELD, NJ 07060-2355
(908) 636-3113
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
726698-1
NY
Other
Enumeration date
06/12/2017
Last updated
03/17/2018
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