Provider Demographics
NPI:1497414767
Name:ANEKE, EVANGELINE UZOAMAKA CHINELO (APRN)
Entity Type:Individual
Prefix:
First Name:EVANGELINE
Middle Name:UZOAMAKA CHINELO
Last Name:ANEKE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 TEMPLE ST APT 507
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-2612
Mailing Address - Country:US
Mailing Address - Phone:347-843-1000
Mailing Address - Fax:
Practice Address - Street 1:253 W 28TH ST FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5914
Practice Address - Country:US
Practice Address - Phone:347-843-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4037992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry