Individual
MR. ALEX ABOAGYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
107 W 4TH ST, MOUNT VERNON, NY 10550-4002
(914) 699-7200
(914) 699-0837
Mailing address
107 W 4TH ST, MOUNT VERNON, NY 10550-4002
(914) 699-7200
(914) 699-0837
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
338434
NY
363LF0000X
Family Nurse Practitioner
F338434-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04101213
—
NY
Enumeration date
12/17/2014
Last updated
07/21/2022
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