Provider Demographics
NPI:1457459042
Name:NASSAU WEST OB/GYN P.C.
Entity Type:Organization
Organization Name:NASSAU WEST OB/GYN P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OKORO
Authorized Official - Middle Name:C
Authorized Official - Last Name:UKPABI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-481-2120
Mailing Address - Street 1:466 MAPLE AVE
Mailing Address - Street 2:P.O.BOX 10319
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-3247
Mailing Address - Country:US
Mailing Address - Phone:516-481-2120
Mailing Address - Fax:516-481-5030
Practice Address - Street 1:229 BALDWIN RD
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-6931
Practice Address - Country:US
Practice Address - Phone:516-481-2120
Practice Address - Fax:516-481-5030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY147641174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty