Individual
RA-IDAH OPOKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
15 JAROSE PL, CLIFTON PARK, NY 12065-7253
(631) 697-8708
Mailing address
15 JAROSE PL, CLIFTON PARK, NY 12065-7253
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406337-01
NY
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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