Individual
MR. BOB NWOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23148 MENTONE AVE, LAURELTON, NY 11413-2955
(631) 703-6063
Mailing address
23148 MENTONE AVE, LAURELTON, NY 11413-2955
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
357958
NY
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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