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Rose Nkoli Ezeani, NP
Adult Health Nurse Practitioner in West Islip, New York
NPI 1609921568

Rose Nkoli Ezeani is an Adult Health Nurse Practitioner based in West Islip, NY and is specialized in Adult Health. Rose Nkoli Ezeani practices in West Islip, NY and has the professional credentials of NP. The NPI Number for Rose Nkoli Ezeani is 1609921568 and holds a License No. 303867 (New York).

The current practice location address for Rose Nkoli Ezeani is 1111 Montauk Hwy Ste 2-4, West Islip, NY and can be reached out via phone at 631-647-9100 and via fax at 631-647-9099.

Location: 1111 Montauk Hwy Ste 2-4, West Islip, NY, 11795-4910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609921568
Provider Name
Rose Nkoli Ezeani
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1111 Montauk Hwy Ste 2-4, West Islip, NY, 11795-4910
Phone Number
631-647-9100
Fax Number
631-647-9099
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1111 Montauk Hwy Ste 2-4
City
West Islip
State
New York
Zip
11795-4910
Phone Number
631-647-9100
Fax Number
631-647-9099
person
Provider Business Mailing Address Details
Address
1111 Montauk Hwy Ste 2-4
City
West Islip
State
New York
Zip
11795-4910
Phone Number
631-647-9100
Fax Number
631-647-9099
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
303867 (New York)
Definition
Definition to come...
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