Healthcare Provider Details

I. General information

NPI: 1952978181
Provider Name (Legal Business Name): UCHENNA NNAMDI OKAFO MBBS, MRCSI, FRCSI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2021
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 BAKER AVE
POUGHKEEPSIE NY
12601-1359
US

IV. Provider business mailing address

19 BAKER AVE STE 302
POUGHKEEPSIE NY
12601-1385
US

V. Phone/Fax

Practice location:
  • Phone: 845-483-5951
  • Fax: 845-483-5775
Mailing address:
  • Phone: 845-483-5951
  • Fax: 845-483-5775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number74948
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number32163
License Number StateMN
# 3
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number331751
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: