Individual
EMMANUEL KOOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1985 MARCUS AVE STE 110, NEW HYDE PARK, NY 11042-2024
(855) 201-4988
Mailing address
2307 PALMER AVE APT B, NEW ROCHELLE, NY 10801-2931
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
346440
NY
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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