National Provider Identifier

Ebony Closure

Ebony Closure is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (315) 883-6708.

NPI 1225506694Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1225506694
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 05, 2018
Last Updated
November 05, 2018

Practice Location

  • 23 Grover St
  • Rochester, NY 14611-2427

Phone: (315) 883-6708

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1225506694
Entity Type
Individual
Last Name
Closure
First Name
Ebony
Name Prefix
MS.
Mailing Street Address
23 Grover St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14611-2427
Mailing Country
US
Mailing Phone
(315) 883-6708
Practice Street Address
23 Grover St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611-2427
Practice Country
US
Practice Phone
(315) 883-6708
Enumeration Date
November 05, 2018
Last Updated
November 05, 2018
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)