Individual
KWABENA YEBOA-ASUAMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1335 ROSSER AVE, ELMONT, NY 11003-3244
(516) 672-4822
Mailing address
310 FULTON AVE, HEMPSTEAD, NY 11550-3906
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
717690549
NY
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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