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NPI Code Detail

MEDICARE: MRS. PRISCILLA CHINYERE OKOLO LPN

MEDICARE:  MRS. PRISCILLA CHINYERE OKOLO  LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse288514-1NY

General Provider Information

NPI Number : 1194043786
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PRISCILLA CHINYERE OKOLO LPN
Provider Business Mailing Address
First Line : 11932 201ST PL
Second Line :
City : SAINT ALBANS
State : NY
Zip : 11412-3814
Country : US
Telephone Number : 347-551-9077
Fax Number :
Provider Business Practice Location Address
First Line : 11932 201ST PL
Second Line :
City : SAINT ALBANS
State : NY
Zip : 11412-3814
Country : US
Telephone Number : 347-551-9077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2010
Last Update Date : 05/06/2010

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Directions to “ MRS. PRISCILLA CHINYERE OKOLO LPN” Practice Location

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