Provider Demographics
NPI:1750109625
Name:ILOZUE, FRANK CHIMA (LPN)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:CHIMA
Last Name:ILOZUE
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 ALLERS BLVD
Mailing Address - Street 2:
Mailing Address - City:ROOSEVELT
Mailing Address - State:NY
Mailing Address - Zip Code:11575-2202
Mailing Address - Country:US
Mailing Address - Phone:516-680-7890
Mailing Address - Fax:
Practice Address - Street 1:71 N FRANKLIN ST STE 215
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-3048
Practice Address - Country:US
Practice Address - Phone:516-280-7381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY343014-01164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse