Individual provider · Type 1 NPI
Rose Nkoli Ezeani, NP
Adult Health Nurse Practitioner · West Islip, NY
NPI number
1609921568
Active
Practice location
1111 Montauk Hwy Ste 2-4
West Islip, NY 11795-4910
Fax (631) 647-9099
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 303867 (NY) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1609921568
Rose Nkoli Ezeani, NP's National Provider Identifier is 1609921568, issued on Jan 23, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in West Islip, NY. The record was last updated on Feb 23, 2021.