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MR. POLYCARP I EZEOLU PTA
NPI 1558580795
Home Health in Corona, NY

Active since April 25, 2007
9832 57TH AVE, SUITE 12-G, CORONA, NY 11368(718) 271-0526 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Polycarp I Ezeolu Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. POLYCARP I EZEOLU PTA (NPI 1558580795) is an individual home health provider in Corona, New York, licensed in New York (003536) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1558580795
Entity TypeIndividualMale
Primary Taxonomy251E00000X
Provider Legal NameMR. POLYCARP I EZEOLUCredential: PTA
Location Address9832 57TH AVE, SUITE 12-GCorona, NY 11368-4914
Mailing Address9832 57th Ave, Suite 12-gCorona, NY 11368-4914 · (718) 271-0526
Phone(718) 271-0526
Sole ProprietorYes
Enumeration DateApril 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1558580795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in NY · 003536
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
9832 57TH AVE, Corona, NY 11368
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHMITA KHATRI
Occupational Therapist
9832 57TH AVE
CORONA, NY 11368
Queens County (516) 547-8904
PASCHALINE GINIKA OFFOR
Registered Nurse
9832 57TH AVE, 12K
CORONA, NY 11368
Queens County (718) 271-7722

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Polycarp Ezeolu's NPI number?

The NPI number for Polycarp Ezeolu is 1558580795. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Polycarp Ezeolu located?

Polycarp Ezeolu practices at 9832 57th Ave Suite 12-G, Corona, NY 11368. The listed phone number is (718) 271-0526.

What is Polycarp Ezeolu's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Polycarp Ezeolu was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.