Provider Demographics
NPI:1013519362
Name:NWAIFEJOKWU, NWAKAEGO (SPEC ED LIC)
Entity Type:Individual
Prefix:MS
First Name:NWAKAEGO
Middle Name:
Last Name:NWAIFEJOKWU
Suffix:
Gender:F
Credentials:SPEC ED LIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 METROPOLITAN AVE APT 7B
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-6871
Mailing Address - Country:US
Mailing Address - Phone:646-319-9749
Mailing Address - Fax:
Practice Address - Street 1:1600 METROPOLITAN AVE APT 7B
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-6871
Practice Address - Country:US
Practice Address - Phone:646-319-9749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist