Provider Demographics
NPI:1235431115
Name:ONWUKEME, NWAEKWUOZOR GABRIEL (L P N)
Entity Type:Individual
Prefix:MR
First Name:NWAEKWUOZOR
Middle Name:GABRIEL
Last Name:ONWUKEME
Suffix:
Gender:M
Credentials:L P N
Other - Prefix:MR
Other - First Name:GABRIEL
Other - Middle Name:
Other - Last Name:ONWUKEME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:L P N
Mailing Address - Street 1:80 E 93RD ST
Mailing Address - Street 2:APT. E315
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-2354
Mailing Address - Country:US
Mailing Address - Phone:718-282-6868
Mailing Address - Fax:
Practice Address - Street 1:80 E 93RD ST
Practice Address - Street 2:APT. E315
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-2354
Practice Address - Country:US
Practice Address - Phone:718-282-6868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-26
Last Update Date:2010-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY299493 -1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse