Provider Demographics
NPI:1487953568
Name:ADJEI-POKU, JULIUS (LPN)
Entity type:Individual
Prefix:
First Name:JULIUS
Middle Name:
Last Name:ADJEI-POKU
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 E 165TH ST
Mailing Address - Street 2:APT-4B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-6029
Mailing Address - Country:US
Mailing Address - Phone:347-579-5886
Mailing Address - Fax:
Practice Address - Street 1:224 E 165TH ST
Practice Address - Street 2:APT-4B
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-6029
Practice Address - Country:US
Practice Address - Phone:347-579-5886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-15
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304784164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse