Individual
MR. KWABENA NTIAMOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1276 FULTON AVE. BRONX LEBANON HOSPITAL, DEPT. OF PSYCHIATRY, 1276 FULTON AVE, BRONX, NY 10456
(718) 466-6020
(718) 466-6060
Mailing address
3924 MONTICELLO AVE, BRONX, NY 10466-2422
(718) 466-6020
(178) 466-6060
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5300378
NY
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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