Individual provider · Type 1 NPI

Ifeyinwa Mary Asuzu, MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1922593813 Active · reactivated Feb 19, 2019

Practice location

1 Edgewater Plaza Staten Island
New York, NY 10305

Mailing address

475 Seaview Avenue Staten Island
New York, NY 10305

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1922593813

Ifeyinwa Mary Asuzu, MD's National Provider Identifier is 1922593813, issued on Jun 25, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Feb 19, 2019.