Individual
ABENA NYANTAKYIWAA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
600 CONCORD AVE, APT-2M, BRONX, NY 10455-3139
(718) 671-2100
Mailing address
600 CONCORD AVE, APT-2M, BRONX, NY 10455-3139
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304158
NY
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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