Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. POLYCARP I EZEOLU, PTA
Active Sole ProprietorMR. POLYCARP I EZEOLU, PTA is a Home Health healthcare provider located in CORONA, New York. NPI 1558580795 is currently active in the NPPES registry. Verify at CMS.
Home Health · CORONA, NY
Registration Details
- NPI Number
- 1558580795
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2007 (19.344325592804 yrs)
- Last Updated
- Jul 8, 2007
- License
-
003536 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9832 57TH AVESUITE 12-GCORONA, NY, 113684914Browse NY providers · Browse ZIP 11368
- Phone
- 7182710526
- Primary Specialty
-
Home Health
251E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.