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1598805244

NPI Code Detail

MEDICARE: MISS NGOZI EDITH NNADI MD

MEDICARE: MISS NGOZI EDITH NNADI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	231103	NY

General Provider Information

NPI Number	:	1598805244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS NGOZI EDITH NNADI MD

Provider Business Mailing Address
First Line	:	206 ZABRISKIE PL
Second Line	:
City	:	NEW MILFORD
State	:	NJ
Zip	:	07646-2920
Country	:	US
Telephone Number	:	201-951-7148
Fax Number	:	718-221-4569

Provider Business Practice Location Address
First Line	:	1819 BERGEN ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11233-4513
Country	:	US
Telephone Number	:	718-221-4500
Fax Number	:	718-221-4569

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	07/08/2007

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Directions to “ MISS NGOZI EDITH NNADI MD” Practice Location

Language	Start Address	Practice Location

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