Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 2773901 | NY |
NPI | 1003062183 |
---|---|
Provider Name | Dr. Ngozi C Mezu |
First Address | Cortland, NY 13045-1206 |
Second Address | Cortland, NY 13045-1206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2008 |
Last Update Date | 18/12/2017 |