Provider Demographics
NPI:1265838007
Name:ANOKYE, AGNES
Entity Type:Individual
Prefix:
First Name:AGNES
Middle Name:
Last Name:ANOKYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4180 HUTCHINSON RIVER PKWY E
Mailing Address - Street 2:APT 10 C
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-4802
Mailing Address - Country:US
Mailing Address - Phone:347-802-5357
Mailing Address - Fax:
Practice Address - Street 1:4180 HUTCHINSON RIVER PKWY E
Practice Address - Street 2:APT 10 C
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-4802
Practice Address - Country:US
Practice Address - Phone:347-802-5357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY320646164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY320646OtherLICENSED PRACTICAL NURSING