Individual
JENNIFER OKWEREKWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
595 5TH AVE, TROY, NY 12182-2501
(518) 414-5421
Mailing address
595 5TH AVE, TROY, NY 12182-2501
(518) 414-5421
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036.159616
IL
2084P0800X
Psychiatry Physician
Primary
175414
CA
2084P0800X
Psychiatry Physician
279287
MA
2084P0800X
Psychiatry Physician
300887
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2016
Last updated
09/26/2022
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