Healthcare Provider Details

I. General information

NPI: 1982004826
Provider Name (Legal Business Name): ANN OKOLIE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2014
Last Update Date: 08/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 W 32ND ST FL 8
NEW YORK NY
10001-3212
US

IV. Provider business mailing address

116 W 32ND ST FL 8
NEW YORK NY
10001-3212
US

V. Phone/Fax

Practice location:
  • Phone: 866-551-9700
  • Fax: 212-947-7625
Mailing address:
  • Phone: 866-551-9700
  • Fax: 212-947-7625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number510680-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: