Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jideobi Y Ezeonu, OTR/L

Individual provider Occupational Therapist · NPI 1790255826

Mr. Jideobi Y Ezeonu, OTR/L is an Occupational Therapist in Staten Island, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

3391 Richmond Ave
Staten Island, NY 10312-2025
Phone: (908) 202-7342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 023127-1 (NY)

Record details

NPI number1790255826
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedDecember 2, 2018
Last updated in NPPESDecember 2, 2018

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