NPI 1861965741

Sydney Ezold

Practitioner Student in an Organized Health Care Education/Training Program East Windsor, CT

Practice location

Address: 99 Main St, East Windsor, CT 06088-1602
Phone: (890) 731-5522
Fax: (860) 731-5536
Mailing address: 995 Day Hill Rd, Windsor, CT 06095-1722

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1861965741
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jan 2019
Record last updated: 3 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.