Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fayona Brun-Ezeocha

Individual provider General Practice Registered Nurse · NPI 1619850765

Fayona Brun-Ezeocha is a General Practice Registered Nurse in Baldwin, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025
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Practice location Address checks out

964 Woodoak Dr
Baldwin, NY 11510
Phone: (516) 376-7294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 613390 (NY)

Record details

NPI number1619850765
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 28, 2025
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025
Mailing address964 Woodoak Drive, Baldwin, NY 11510

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