Provider Demographics
NPI:1396557203
Name:EZEKIEL, YOCHEVED
Entity type:Individual
Prefix:
First Name:YOCHEVED
Middle Name:
Last Name:EZEKIEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1816 AVENUE J
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-3809
Mailing Address - Country:US
Mailing Address - Phone:929-340-9069
Mailing Address - Fax:
Practice Address - Street 1:902 DINSMORE AVENUE
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-1169
Practice Address - Country:US
Practice Address - Phone:929-340-9069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program