Vitus C Ezerioha, | |
870 Southern Blvd., Apt 1a, Bronx, NY 10459 | |
(347) 567-1079 | |
Not Available |
Full Name | Vitus C Ezerioha |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 870 Southern Blvd., Bronx, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710496633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 328550-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Vitus C Ezerioha, 870 Southern Blvd Apt 1a, Bronx, NY 10459-4526 Ph: () - | Vitus C Ezerioha, 870 Southern Blvd., Apt 1a, Bronx, NY 10459 Ph: (347) 567-1079 |
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