EBENEZER A AWOLESI

STATEN ISLAND, NY
NPI1447795323
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  025399)
Enumeration Date2016-12-30
Last Update Date2016-12-30
Business Address
-- EBENEZER A AWOLESI
355 BARD AVE
STATEN ISLAND, NY 10310-1664
Phone number: 718-818-3163
Mailing Address
-- EBENEZER A AWOLESI
48 RESERVOIR RD
HACKETTSTOWN, NJ 07840-5647
Phone number: