Provider Demographics
NPI:1770039570
Name:SANKOH, MARIE KAI (RN)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:KAI
Last Name:SANKOH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2375 E 3RD ST
Mailing Address - Street 2:APT 4J
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-5355
Mailing Address - Country:US
Mailing Address - Phone:917-971-0474
Mailing Address - Fax:
Practice Address - Street 1:2375 E 3RD ST
Practice Address - Street 2:APT 4J
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-5355
Practice Address - Country:US
Practice Address - Phone:917-971-0474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE595282163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse