Individual
EZINWANNE VANESSA OKAFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3611 14TH AVE STE 550, BROOKLYN, NY 11218-3773
(718) 819-1644
(718) 587-1341
Mailing address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
311361
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
311361
NY
Other
Enumeration date
06/01/2023
Last updated
03/04/2026
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