Individual provider · Type 1 NPI
Polycarp I. Ezeolu, PTA
Home Health Agency · Corona, NY
Practice location
9832 57th Ave, Suite 12-G
Corona, NY 11368-4914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency Primary | 251E00000X | 003536 (NY) |
Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…
2 other providers at this address
About NPI 1558580795
Polycarp I. Ezeolu, PTA's National Provider Identifier is 1558580795, issued on Apr 25, 2007. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Corona, NY. The record was last updated on Jul 8, 2007.