Healthcare Provider Details

I. General information

NPI: 1255259289
Provider Name (Legal Business Name): NNEAMAKA C OKOYE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 AUSTIN ST
FOREST HILLS NY
11375-1022
US

IV. Provider business mailing address

19405C 67TH AVE
FRESH MEADOWS NY
11365-3908
US

V. Phone/Fax

Practice location:
  • Phone: 718-762-7633
  • Fax:
Mailing address:
  • Phone: 929-354-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number031211
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: