Provider Demographics
NPI:1639750789
Name:OKAINE, DORCAS KARE
Entity Type:Individual
Prefix:
First Name:DORCAS
Middle Name:KARE
Last Name:OKAINE
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 1:63 SPRING BROOK RD
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-4423
Mailing Address - Country:US
Mailing Address - Phone:845-367-1018
Mailing Address - Fax:
Practice Address - Street 1:63 SPRING BROOK RD
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-4423
Practice Address - Country:US
Practice Address - Phone:845-367-1018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY812730163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse