Provider Demographics
NPI:1447789532
Name:UKATU, OGE MARGRET
Entity Type:Individual
Prefix:
First Name:OGE
Middle Name:MARGRET
Last Name:UKATU
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 1:14 ELIAS PL
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-2303
Mailing Address - Country:US
Mailing Address - Phone:917-415-8382
Mailing Address - Fax:718-815-8062
Practice Address - Street 1:14 ELIAS PL
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-2303
Practice Address - Country:US
Practice Address - Phone:917-415-8382
Practice Address - Fax:718-815-8062
Is Sole Proprietor?:No
Enumeration Date:2017-06-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY478918163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse