Individual provider · Type 1 NPI

Fayona Brun-Ezeocha

General Practice Registered Nurse · Baldwin, NY

NPI number 1619850765 Active

Practice location

964 Woodoak Drive
Baldwin, NY 11510

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000X613390 (NY)

General Practice Registered Nurse: Definition to come...

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About NPI 1619850765

Fayona Brun-Ezeocha's National Provider Identifier is 1619850765, issued on Jul 28, 2025. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Baldwin, NY. The record was last updated on Jul 28, 2025.