Individual
EDMUND YEBOAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
245 OXFORD RD APT 23C, NEW HARTFORD, NY 13413-4325
(646) 804-8774
Mailing address
245 OXFORD RD APT 23C, NEW HARTFORD, NY 13413-4325
(646) 804-8774
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024354
NY
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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