Individual
MRS. COMFORT O OKOROCHA-IBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
774 MANOR RD, STATEN ISLAND, NY 10314-7038
(718) 494-6571
Mailing address
23 GRAVES ST, STATEN ISLAND, NY 10314-5120
(646) 427-4050
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307073
NY
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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