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

Osahon Izevbizua

Individual provider Case Manager/Care Coordinator · NPI 1124438304

Osahon Izevbizua is a Case Manager/Care Coordinator in Ronkonkoma, New York. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
3

Practice location Address checks out

500 Peconic St Apt 96A
Ronkonkoma, NY 11779-7124
Phone: (631) 377-9211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Contractor Taxonomy 171W00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1124438304
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 28, 2014
Last updated in NPPESApril 28, 2014

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