Individual
EBENEZER KOJO ESSUMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
451 UNIONDALE AVE, UNIONDALE, NY 11553-2232
(516) 485-2277
(516) 485-2229
Mailing address
451 UNIONDALE AVE, UNIONDALE, NY 11553-2232
(516) 485-2277
(516) 485-2229
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
179801
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01231
GHI MCR
NY
05
—
01457056
—
NY
Enumeration date
09/20/2005
Last updated
07/08/2007
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