Provider Demographics
NPI:1205445004
Name:ONUKWUIRE, LIVINUS
Entity type:Individual
Prefix:
First Name:LIVINUS
Middle Name:
Last Name:ONUKWUIRE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1470 PARKCHESTER RD APT 1D
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-7651
Mailing Address - Country:US
Mailing Address - Phone:646-675-4975
Mailing Address - Fax:718-518-5298
Practice Address - Street 1:1470 PARKCHESTER RD APT 1D
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-7651
Practice Address - Country:US
Practice Address - Phone:646-675-4975
Practice Address - Fax:718-518-5298
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0384651835C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835C0205XPharmacy Service ProvidersPharmacistCritical Care