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Individual

DR. FAUSTINA AMPONSAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN, FNP-C

Contact information

Practice address
2604 3RD AVE, BRONX, NY 10454-1199
(718) 292-0100
Mailing address
35 AUDOBON ST, MEDFORD, NY 11763-1577

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
338554
NY
363LW0102X
Women's Health Nurse Practitioner
420594
NY

Other

Enumeration date
10/18/2012
Last updated
02/04/2017
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