Individual
COMFORT AGYEMANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 E 241ST ST, BRONX, NY 10470-1303
(718) 671-2100
Mailing address
1700 METROPOLITAN AVE APT 6B, BRONX, NY 10462-6968
(347) 348-2835
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
334781
NY
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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