Provider Demographics
NPI:1306187059
Name:TIGENOAH, PATRICK AKOBEH (PSYCHIATRIC NP)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:AKOBEH
Last Name:TIGENOAH
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Gender:M
Credentials:PSYCHIATRIC NP
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Mailing Address - Street 1:4558 RICHARDSON AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10470-1547
Mailing Address - Country:US
Mailing Address - Phone:212-961-7299
Mailing Address - Fax:844-636-5521
Practice Address - Street 1:6 GRAMATAN AVE STE 606
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-3208
Practice Address - Country:US
Practice Address - Phone:212-961-7299
Practice Address - Fax:844-636-5521
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-05
Last Update Date:2020-11-10
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Provider Licenses
StateLicense IDTaxonomies
NY401573363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health