Provider Demographics
NPI:1972116168
Name:OUKO, ALLISON (FNP)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:OUKO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:SKEEN-HECTOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1149 LELAND AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10472-4801
Mailing Address - Country:US
Mailing Address - Phone:347-244-0112
Mailing Address - Fax:
Practice Address - Street 1:85 W BURNSIDE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-4015
Practice Address - Country:US
Practice Address - Phone:718-716-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-26
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF346152-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily