Individual
MAXWELL BOASIAKO ANTWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 GEORGE KARL BLVD, WILLIAMSVILLE, NY 14221-7183
(716) 218-1000
(716) 923-4384
Mailing address
4979 HARLEM RD, AMHERST, NY 14226-2547
(716) 923-4381
(716) 923-4384
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
309224
NY
363LA2200X
Adult Health Nurse Practitioner
309224
NY
Other
Enumeration date
02/04/2020
Last updated
02/07/2023
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