Individual
DOUGLAS AKANKPAB-BOKA AYOMBISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 VOORHEESVILLE AVE, VOORHEESVILLE, NY 12186-9724
(518) 590-5386
Mailing address
16 VOORHEESVILLE AVE, VOORHEESVILLE, NY 12186-9724
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
560394
NY
Other
Enumeration date
03/27/2024
Last updated
01/05/2026
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