| NPI | 1699225490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINELLE UDO OKEKE Np 518-772-8182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 335568) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2022-12-05 |