# GREGORY C OKORONGWU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1568030344
- **Gender:** Man
- **Credential:** PSYCH NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | F40340901 | NY | Yes |

## Other

- **Enumeration date:** 06/16/2021
- **Last updated:** 06/27/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 06595880 | — | NY |