Individual
EVA ASAMOAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1787 MIDDLE COUNTRY RD # B, CENTEREACH, NY 11720-3507
(631) 320-3053
Mailing address
129 BERKELEY AVE, SELDEN, NY 11784-1903
(631) 459-0693
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F345213-01
NY
Other
Enumeration date
11/10/2019
Last updated
11/10/2019
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