Provider Demographics
NPI:1134688567
Name:ANSAH-ELEAZU, EFUA GYESIWAH
Entity Type:Individual
Prefix:
First Name:EFUA
Middle Name:GYESIWAH
Last Name:ANSAH-ELEAZU
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 1:62 SCRIBNER AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-2316
Mailing Address - Country:US
Mailing Address - Phone:347-968-6645
Mailing Address - Fax:
Practice Address - Street 1:62 SCRIBNER AVE APT 2
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-2316
Practice Address - Country:US
Practice Address - Phone:347-968-6645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-15
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula