Provider Demographics
NPI:1417260944
Name:SARKODEE, MARTIN POKU (RN)
Entity Type:Individual
Prefix:MR
First Name:MARTIN
Middle Name:POKU
Last Name:SARKODEE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 OCEAN AVE
Mailing Address - Street 2:APARTMENT # 3R
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-3746
Mailing Address - Country:US
Mailing Address - Phone:347-789-8619
Mailing Address - Fax:347-789-8619
Practice Address - Street 1:522 OCEAN AVE
Practice Address - Street 2:# 3R
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-3746
Practice Address - Country:US
Practice Address - Phone:347-789-8619
Practice Address - Fax:347-789-8619
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY478406163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse