Individual
ADWOA BOAMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 CAFFREY AVE, FAR ROCKAWAY, NY 11691-5113
(718) 868-4923
Mailing address
1310 CAFFREY AVE, FAR ROCKAWAY, NY 11691-5113
(718) 868-4923
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304947
NY
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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