Individual
IRIS OKANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
456 CHESTNUT ST, LAKEWOOD, NJ 08701-6124
(718) 644-3126
Mailing address
2866 DUDLEY AVE, BRONX, NY 10461-5610
(718) 644-3126
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
760608-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ15219200
NJ
Other
Enumeration date
04/08/2019
Last updated
11/19/2025
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