Healthcare Provider Details

I. General information

NPI: 1831075431
Provider Name (Legal Business Name): PRISCILLA CHIKOWORE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PRISCILLA MASAWI

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date: 03/31/2026
Reactivation Date: 04/16/2026

III. Provider practice location address

127 S BROADWAY
YONKERS NY
10701-4006
US

IV. Provider business mailing address

127 S BROADWAY
YONKERS NY
10701-4006
US

V. Phone/Fax

Practice location:
  • Phone: 914-378-7000
  • Fax:
Mailing address:
  • Phone: 914-378-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: