Doctor Name: | WESLEY OHAKAM |
NPI Number: | 1154637320 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPN |
License Number: | 298676-1 |
Business Practice Address: | 181 W Main St Babylon, NY - 117023435 |
Business Phone Number: | 6314222300 |
Business Fax Number: | 6314223398 |
Mailing Address: | 181 W Main St, BABYLON |
State: | NY |
Postal Code: | 117023435 |
Phone Number: | 6314222300 |
Fax Number: | 6314223398 |
NPI Enumeration Date: | 08/26/2010 |
NPI Last Update Date: | 08/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 298676-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |