Most Relevant Information
Provider Data
| NPI Number: | 1003331059 |
| Provider Name: | JOSEPHINE WANJIRU OKUNGU |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/10/2017 |
| Last Updated: | 08/10/2017 |
Provider Practice Location
4277 65TH PL
WOODSIDE
NY
113775054
Practice Location Phone/Fax
| Phone: | 7184292000 |
| Fax: |
Provider Mailing Location
8531 120TH ST APT 2B
KEW GARDENS
NY
114153137
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |