Provider Demographics
NPI:1083857882
Name:OKOLIE, ROBERT UCHE (DNP, FNP)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:UCHE
Last Name:OKOLIE
Suffix:
Gender:M
Credentials:DNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2632 E 14TH ST FL 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3916
Mailing Address - Country:US
Mailing Address - Phone:718-696-0660
Mailing Address - Fax:
Practice Address - Street 1:2632 E 14TH ST FL 3
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3916
Practice Address - Country:US
Practice Address - Phone:718-696-0660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF335830363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily