Individual
BOAHEN OWUSU KWAKYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGNP
Contact information
Practice address
3000 MARCUS AVE STE 2W15, NEW HYDE PARK, NY 11042-1005
(855) 201-4988
Mailing address
140 DE KRUIF PL APT 2B, BRONX, NY 10475-2248
(347) 271-6159
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
F308264-1
NY
Other
Enumeration date
10/01/2018
Last updated
10/31/2019
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