Console Ifezulumba

NPI #1134747264 in Elmont, New York

Provider Information

NPI Number: 1134747264
Entity Type: Individual
Name: Console Ifezulumba
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Jul 6, 2020
Last Updated: Oct 5, 2021

Practice Location

Address: 27 ALBANY ST
City: Elmont
State: New York
ZIP Code: 11003-5010
Phone: (917) 940-8220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Licensed Practical Nurse	164W00000X
Registered Nurse	163W00000X	Primary

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