Individual
NDIDI M OKUESI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1190 5TH AVE # 1028, NEW YORK, NY 10029-6503
(212) 659-6800
(212) 659-6818
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
620024-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F308947-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609042175
—
NY
Enumeration date
04/06/2010
Last updated
09/27/2025
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