JIDEOBI Y EZEONU

STATEN ISLAND, NY
NPI1790255826
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  023127-1)
Enumeration Date2018-12-02
Last Update Date2018-12-02
Business Address
MR. JIDEOBI Y EZEONU OTR/L
3391 RICHMOND AVE
STATEN ISLAND, NY 10312-2025
Phone number: 908-202-7342
Mailing Address
MR. JIDEOBI Y EZEONU OTR/L
1366 SUWANEE DR
NORTH BRUNSWICK, NJ 08902-1635
Phone number: 908-202-7342
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