Individual
MR. LOUIS IKECHUKWU NWOKEOCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
580 GRANT AVE, NORTH BALDWIN, NY 11510-1329
(347) 400-5373
Mailing address
580 GRANT AVE, NORTH BALDWIN, NY 11510-1329
(347) 400-5373
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NY
332BC3200X
Customized Equipment (DME)
—
NY
332BD1200X
Dialysis Equipment & Supplies (DME)
—
NY
332BN1400X
Nursing Facility Supplies (DME)
—
NY
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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