POLYCARP I EZEOLU

CORONA, NY
NPI1558580795
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
(Licence: NY  003536)
Enumeration Date2007-04-25
Last Update Date2007-07-08
Business Address
Mr. POLYCARP I EZEOLU PTA
9832 57TH AVE SUITE 12-G
CORONA, NY 11368-4914
Phone number: 718-271-0526
Mailing Address
Mr. POLYCARP I EZEOLU PTA
9832 57TH AVE SUITE 12-G
CORONA, NY 11368-4914
Phone number: 718-271-0526
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