Provider Demographics
NPI:1821632092
Name:NZEKWE, NKECHI DOROTHY
Entity Type:Individual
Prefix:
First Name:NKECHI
Middle Name:DOROTHY
Last Name:NZEKWE
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 1:1430 WATERS PL
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2719
Mailing Address - Country:US
Mailing Address - Phone:929-348-3831
Mailing Address - Fax:929-348-3946
Practice Address - Street 1:1430 WATERS PL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2719
Practice Address - Country:US
Practice Address - Phone:929-348-3831
Practice Address - Fax:929-348-3946
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-31
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3340222084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry