Healthcare Provider Details

I. General information

NPI: 1164127353
Provider Name (Legal Business Name): ESTHER OGECHUKWU OKAFOR PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ESTHER O OKAFOR PMHNP

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 04/05/2023
Certification Date: 04/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 DEAN STREET
BROOKLYN NY
11238-9996
US

IV. Provider business mailing address

118-39 FRANCIS LEWIS BLVD
CAMBRIA HEIGHTS NY
11411-1914
US

V. Phone/Fax

Practice location:
  • Phone: 203-425-1315
  • Fax:
Mailing address:
  • Phone: 917-280-8405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF402466-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: