Active NPIIndividual providerSole proprietor

Ms. Cassandre Ezike

Community Health Worker in Roxbury, Massachusetts

NPI Number1164794061
Practice location
520 Dudley St, Roxbury, MA 02119-2769
Fax
617-445-2670
Last updated
February 7, 2012

Cassandre Ezike is a Community Health Worker based in Roxbury, MA. Cassandre Ezike practices in Roxbury, MA. The NPI Number for Cassandre Ezike is 1164794061. The current practice location address for Cassandre Ezike is 520 Dudley St, Roxbury, MA 02119-2769 and can be reached out via phone at 617-989-9499 and via fax at 617-445-2670.

Provider Profile Details

NPI Number
1164794061
Provider Name
Cassandre Ezike
Provider Entity Type
Individual
Gender
Female
Address
520 Dudley St, Roxbury, MA 02119-2769
Phone Number
617-989-9499
Fax Number
617-445-2670
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 7, 2012
Last Update Date
February 7, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
520 Dudley St
Roxbury, MA 02119-2769
Zip
02119-2769
Phone Number
617-989-9499
Fax Number
617-445-2670
Roxbury, MA 02119Get directions →

Provider Business Mailing Address Details

Address
520 Dudley St
Roxbury, MA 02119-2769
City
Roxbury
State
MA
Zip
02119-2769
Phone Number
617-291-1431

License Information

Taxonomy
Community Health Worker · 172V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Cassandre Ezike?

The NPI number of Ms. Cassandre Ezike is 1164794061. It was assigned on February 7, 2012 and is currently active in the NPPES registry.

What is the specialty of Ms. Cassandre Ezike?

Ms. Cassandre Ezike is registered under the primary taxonomy Community Health Worker (code 172V00000X).

Where does Ms. Cassandre Ezike practice?

The practice location is 520 Dudley St, Roxbury, MA 02119-2769. The office can be reached at 617-989-9499 (phone) or 617-445-2670 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164794061 directly on the NPPES registry website.

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