Individual
DR. KOKU MAWUSI GASINU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453
(718) 299-7295
Mailing address
3198 GRAND CONCOURSE FL 1, BRONX, NY 10458-1000
(718) 618-0401
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
164779
NY
Other
Enumeration date
11/06/2006
Last updated
03/11/2019
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