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

Mr. Polycarp I Ezeolu, PTA

Individual provider Home Health Agency · NPI 1558580795

Mr. Polycarp I Ezeolu, PTA is a Home Health Agency in Corona, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

9832 57th Ave Ste 12-G
Corona, NY 11368-4914
Phone: (718) 271-0526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X · Licence 003536 (NY)

Record details

NPI number1558580795
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 25, 2007
Last updated in NPPESJuly 8, 2007
Mailing address9832 57th Ave, Suite 12-G, Corona, NY 11368-4914

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