MEDICARE: EFE A OKOH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	765016	NY

General Provider Information

NPI Number	:	1083214662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EFE A OKOH

Provider Business Mailing Address
First Line	:	2425 NOSTRAND AVE APT 402
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-4022
Country	:	US
Telephone Number	:	347-949-9923
Fax Number	:

Provider Business Practice Location Address
First Line	:	2425 NOSTRAND AVE APT 402
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-4022
Country	:	US
Telephone Number	:	347-949-9923
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2020
Last Update Date	:	10/31/2020

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Directions to “ EFE A OKOH ” Practice Location

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