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Individual

RUTH OKONKWO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
712 NEWFIELD AVE, STAMFORD, CT 06905-2907
(917) 607-5695

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
175083
CT
163W00000X
Registered Nurse
724633
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14575
CT

Other

Enumeration date
03/11/2025
Last updated
03/11/2025
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