Individual
RUTH YEBOAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1191 CLAY AVE APT BB, BRONX, NY 10456-4230
(917) 790-9134
Mailing address
1191 CLAY AVE APT BB, BRONX, NY 10456-4230
(917) 790-9134
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
627976
NY
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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