Individual
GODWIN BLAY BOAFUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 851-0611
Mailing address
615 W 131ST ST FL 4, NEW YORK, NY 10027-7984
(212) 851-0611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
331065
NY
208M00000X
Hospitalist Physician
Primary
331065
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2022
Last updated
07/29/2025
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