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Individual
GREGORY C OKORONGWU
Active
Individual
GREGORY C OKORONGWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCH NP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F40340901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06595880
—
NY
Enumeration date
06/16/2021
Last updated
06/27/2022
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