Individual
ABENAA YEBOAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2052 TILLOTSON AVE, BRONX, NY 10475-1560
(718) 671-2100
Mailing address
2052 TILLOTSON AVE, BRONX, NY 10475-1560
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
703957
NY
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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