| Doctor Name: | ONYINYE AMAKOM |
| NPI Number: | 1184027294 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 676318-1 |
| Business Practice Address: | 3 Edelweiss Dr Woodridge, NY - 127895806 |
| Business Phone Number: | 8456934765 |
| Business Fax Number: | 8456934765 |
| Mailing Address: | 3 Edelweiss Dr, WOODRIDGE |
| State: | NY |
| Postal Code: | 127895806 |
| Phone Number: | 8456934765 |
| Fax Number: | 8456934765 |
| NPI Enumeration Date: | 10/02/2014 |
| NPI Last Update Date: | 10/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0600X |
| License Number: | 676318-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |