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Organization
ROSEDALE MEDICAL OFFICE,PLLC
Active
Organization
ROSEDALE MEDICAL OFFICE,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM AKWASI ANKOBIAH M.D. (CEO)
(719) 341-3535
Entity
Organization
Contact information
Practice address
25302 147TH AVE, ROSEDALE, NY 11422-2541
(718) 341-3535
(718) 341-1730
Mailing address
25302 147TH AVE, ROSEDALE, NY 11422-2541
(718) 341-3535
(718) 341-1730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
171192
NY
207RP1001X
Pulmonary Disease Physician
171192
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01145106
—
NY
Enumeration date
09/12/2007
Last updated
09/19/2007
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