Individual
CHIOMA NWANKWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LPN
Contact information
Practice address
500 PECONIC ST APT 334A, RONKONKOMA, NY 11779-7101
(917) 624-1970
Mailing address
500 PECONIC ST APT 334A, RONKONKOMA, NY 11779-7101
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
353316
NY
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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