Provider Demographics
NPI:1104657477
Name:OGOKE, SARAH (DPM)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:OGOKE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 PETER COOPER RD APT 6A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6608
Mailing Address - Country:US
Mailing Address - Phone:832-366-5708
Mailing Address - Fax:
Practice Address - Street 1:7 PETER COOPER RD APT 6A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6608
Practice Address - Country:US
Practice Address - Phone:832-366-5708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program