Healthcare Provider Details

I. General information

NPI: 1801199518
Provider Name (Legal Business Name): MS. HELEN U OKORIE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2010
Last Update Date: 12/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 W JOHN ST
HICKSVILLE NY
11801-1020
US

IV. Provider business mailing address

25960 CRAFT AVE
ROSEDALE NY
11422-3031
US

V. Phone/Fax

Practice location:
  • Phone: 516-933-1923
  • Fax:
Mailing address:
  • Phone: 917-543-8394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number467410
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: