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Individual

KWAME OKYERE-AMOFAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1529 WILLIAMSBRIDGE RD, BRONX, NY 10461
(914) 375-8700
Mailing address
1529 WILLIAMSBRIDGE RD, BRONX, NY 10461-2502

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
619500
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402425
NY

Other

Enumeration date
06/02/2018
Last updated
08/10/2018
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