Fredrick, Gloria Okaonye

Fredrick, Gloria Okaonye is an individual health care provider with primary practice located at 11606 Myrtle Ave , Richmond Hill NY 11418-1748. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Fredrick, Gloria Okaonye can be contacted via phone (718) 215-1952.

Contact Information

Primary practice address
11606 Myrtle Ave Richmond Hill NY 11418-1748
Phone: (718) 215-1952
Fax: (718) 441-3701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 456741 New York

Profile Details

NPI number 1265951149
LBN Legal business name Fredrick, Gloria Okaonye
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2017
Last updated Sep 12th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265951149 NPPES
New York MEDICAID 1639694904

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