ROSE NKOLI EZEANI

WEST ISLIP, NY
NPI1609921568
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  303867)
Enumeration Date2007-01-23
Last Update Date2021-02-23
Business Address
ROSE NKOLI EZEANI NP
1111 MONTAUK HWY STE 2-4
WEST ISLIP, NY 11795-4910
Phone number: 631-647-9100
Mailing Address
ROSE NKOLI EZEANI NP
1111 MONTAUK HWY STE 2-4
WEST ISLIP, NY 11795-4910
Phone number: 631-647-9100
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