MEDICARE: CHINENYE OKORO

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	363LF0000X	Family Nurse Practitioner	336073	NY
2	363LF0000X	Family Nurse Practitioner	26NJ00257300	NJ

General Provider Information

NPI Number	:	1790019644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHINENYE OKORO

Provider Business Mailing Address
First Line	:	1220 VICTOR AVE
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-3706
Country	:	US
Telephone Number	:	718-325-4669
Fax Number	:

Provider Business Practice Location Address
First Line	:	1220 VICTOR AVE
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-3706
Country	:	US
Telephone Number	:	718-325-4669
Fax Number	:

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

Provider Enumeration Date	:	09/24/2009
Last Update Date	:	05/28/2026

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Directions to “ CHINENYE OKORO ” Practice Location

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