# JACKSON ASMOAH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** jackson asamoah
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568693414
- **Authorized official:** MR. JACKSON ASAMOAH REGISTERED NURSE (RN)
- **Authorized official phone:** (347) 558-3176

## Contact information

- **Practice address:** 1111 GERARD AVE APT 1A, BRONX, NY 10452
- **Practice address phone:** (347) 558-3176
- **Mailing address:** 1111 GERARD AVE APT 1A, 1111 GERARD AVE APT 1A, BRONX, NY 10452-8821
- **Mailing address phone:** (347) 558-3176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282E00000X | Long Term Care Hospital | 571561-1 | NY | Yes |

## Other

- **Enumeration date:** 07/27/2009
- **Last updated:** 07/27/2009