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)
(862) 239-5253
Entity
Organization
Contact information
Practice address
69 MAIN ST, PATERSON, NJ 07505-1027
(862) 239-5253
Mailing address
69 MAIN ST, PATERSON, NJ 07505-1027
(862) 239-5253
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
156622
NY
332H00000X
Eyewear Supplier
Primary
156622
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00799959
—
NY
Enumeration date
03/10/2011
Last updated
03/10/2011
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