Individual
MR. BRIGHT BOAFO NKRUMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-1114
(845) 333-1102
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-1114
(845) 333-1102
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006344
NY
363AS0400X
Surgical Physician Assistant
006344
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
09/29/2006
Last updated
01/29/2016
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