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Contact Information

OSAHON IZEVBIZUA
500 PECONIC ST APT 96A
RONKONKOMA, NY11779-7124
 Phone: 631-377-9211
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Community Health Worker

172V00000X
 

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for OSAHON IZEVBIZUA · (Male)

NPI Number 1124438304
Status Active
Credentials
Entity Individual
Enumeration date 04/28/2014
Last updated 04/28/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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