Individual provider · Type 1 NPI
Chris Ezomo
Private Vehicle · Syracuse, NY
NPI number
1710563440
Active
Practice location
933 Hazelwood Ave
Syracuse, NY 13224-1314
Other practice locations
- 933 Hazelwood Ave, Syracuse, NY 13224-1314 · (315) 395-7401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | None listed |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
About NPI 1710563440
Chris Ezomo's National Provider Identifier is 1710563440, issued on Mar 23, 2021. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Syracuse, NY. The record was last updated on Mar 23, 2021.