# SAMUEL AKUOKU PHYSICIAN PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Laurelton Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013070366
- **Authorized official:** DR. SAMUEL BOATENG AKUOKU M.D. (OWNER)
- **Authorized official phone:** (718) 949-6433

## Contact information

- **Practice address:** 22414 MERRICK BLVD, LAURELTON, NY 11413-2023
- **Practice address phone:** (718) 949-6433
- **Practice address fax:** (718) 949-0331
- **Mailing address:** 22414 MERRICK BLVD, LAURELTON, NY 11413-2023
- **Mailing address phone:** (718) 949-6433
- **Mailing address fax:** (718) 949-0331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 178587 | NY | Yes |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 08/22/2020