Healthcare Provider Details

I. General information

NPI: 1073365144
Provider Name (Legal Business Name): NGO ONYEKA OKAFOR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2024
Last Update Date: 04/03/2024
Certification Date: 04/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 5TH AVE FL 5
NEW YORK NY
10010-2121
US

IV. Provider business mailing address

210 5TH AVE FL 5
NEW YORK NY
10010-2121
US

V. Phone/Fax

Practice location:
  • Phone: 646-598-4806
  • Fax:
Mailing address:
  • Phone: 646-598-4806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: