Individual
MR. EDWARD ODURO-KWAKYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA, MPH
Contact information
Practice address
120 BELLAMY LOOP APT 16B, BRONX, NY 10475-3731
(718) 862-1002
Mailing address
120 BELLAMY LOOP APT 16B, BRONX, NY 10475-3731
(718) 862-1002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007267
NY
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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