Individual
DR. KWABENA A BOAHENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
739 IRVING AVE, SUITE 500, SYRACUSE, NY 13210-1664
(315) 470-7409
(315) 475-2357
Mailing address
1001 W FAYETTE ST, SUITE 400, SYRACUSE, NY 13204-2859
(315) 470-7409
(315) 475-2357
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
153762
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
153762
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00923097
—
NY
Enumeration date
02/17/2006
Last updated
05/02/2016
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