Organization
JACKSON ASMOAH
Active
Other names
jackson asamoah
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACKSON ASAMOAH REGISTERED NURSE (RN)
(347) 558-3176
Entity
Organization
Contact information
Practice address
1111 GERARD AVE APT 1A, BRONX, NY 10452
(347) 558-3176
Mailing address
1111 GERARD AVE APT 1A, 1111 GERARD AVE APT 1A, BRONX, NY 10452-8821
(347) 558-3176
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
571561-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123456
—
NY
Enumeration date
07/27/2009
Last updated
07/27/2009
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