Provider Demographics
NPI:1013265867
Name:OKON, ESTHER NKESE (MS, CDN)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:NKESE
Last Name:OKON
Suffix:
Gender:F
Credentials:MS, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1838 2ND AVE
Mailing Address - Street 2:UPS BOX 130
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3861
Mailing Address - Country:US
Mailing Address - Phone:212-234-1207
Mailing Address - Fax:
Practice Address - Street 1:1838 2ND AVE
Practice Address - Street 2:UPS BOX 130
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3861
Practice Address - Country:US
Practice Address - Phone:212-234-1207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-28
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001664133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist