Individual
CHARLES OBUM OKOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11942 179TH ST, JAMAICA, NY 11434-1942
(646) 379-7550
Mailing address
11942 179TH ST, JAMAICA, NY 11434-1942
(646) 379-7550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
717566
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
F358105
NY
Other
Enumeration date
08/16/2016
Last updated
05/11/2026
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