Provider Demographics
NPI:1184461212
Name:BOKEKE, SYLVIE
Entity type:Individual
Prefix:
First Name:SYLVIE
Middle Name:
Last Name:BOKEKE
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 1:215 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:MD
Mailing Address - Zip Code:21225-2915
Mailing Address - Country:US
Mailing Address - Phone:240-501-5912
Mailing Address - Fax:
Practice Address - Street 1:215 9TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:MD
Practice Address - Zip Code:21225-2915
Practice Address - Country:US
Practice Address - Phone:240-501-5912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide