Individual
ONYEKACHIM EZEOFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(347) 724-1129
Mailing address
11229 219TH ST, QUEENS VILLAGE, NY 11429-2649
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
930513
NY
163WN0002X
Neonatal Intensive Care Registered Nurse
930513
NY
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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