MEDICARE: MRS. RACHAEL NWANAGU OKEREKE-AKPARA PA C

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	363A00000X	Physician Assistant	005806	NY

General Provider Information

NPI Number	:	1396706321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RACHAEL NWANAGU OKEREKE-AKPARA PA C

Provider Business Mailing Address
First Line	:	726 E 102ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-2608
Country	:	US
Telephone Number	:	718-649-7914
Fax Number	:

Provider Business Practice Location Address
First Line	:	726 E 102ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-2608
Country	:	US
Telephone Number	:	718-649-7914
Fax Number	:

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

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	01/31/2024

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