TIMOTHY EZADHE

STATEN ISLAND, NY
NPI1053684340
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  306157-1)
Enumeration Date2012-02-16
Last Update Date2012-02-16
Business Address
-- TIMOTHY EZADHE
151 JERSEY ST APT.1D
STATEN ISLAND, NY 10301-1464
Phone number: 347-785-3270
Mailing Address
-- TIMOTHY EZADHE
151 JERSEY STREET APT.1D
STATEN ISLAND, NY 10301
Phone number: 347-785-3270
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