Provider Demographics
NPI:1518742535
Name:EZ AID
Entity Type:Organization
Organization Name:EZ AID
Other - Org Name:EZ AID
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PERPETUA
Authorized Official - Middle Name:NNEKA
Authorized Official - Last Name:EZEH-AIDEYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-531-2848
Mailing Address - Street 1:790 NW 107TH AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-3100
Mailing Address - Country:US
Mailing Address - Phone:786-359-4852
Mailing Address - Fax:
Practice Address - Street 1:790 NW 107TH AVE STE 107
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-3100
Practice Address - Country:US
Practice Address - Phone:786-359-4852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty