Individual
FOSUA AGYENIM BOATENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
6 GRAMATAN AVE STE 606, MOUNT VERNON, NY 10550-3208
(212) 961-7299
Mailing address
207 HOOVER RD APT 2, YONKERS, NY 10710-3440
(914) 536-7623
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405667
NY
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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