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NPI Code Detail

MEDICARE: SELENE OKROS

MEDICARE:   SELENE  OKROS
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
1390200000XStudent in an Organized Health Care Education/Training Program

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
274333203600OTHERNYFIDELIS

General Provider Information

NPI Number : 1649702325
Entity Type Code : Individual
Provider Name (Legal Business Name) : SELENE OKROS
Provider Business Mailing Address
First Line : 5 WILDWOOD DR APT 14D
Second Line :
City : WAPPINGERS FALLS
State : NY
Zip : 12590-2042
Country : US
Telephone Number : 914-475-6206
Fax Number :
Provider Business Practice Location Address
First Line : 5 WILDWOOD DR APT 14D
Second Line :
City : WAPPINGERS FALLS
State : NY
Zip : 12590-2042
Country : US
Telephone Number : 914-475-6206
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2017
Last Update Date : 03/31/2017

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Directions to “ SELENE OKROS ” Practice Location

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