Individual
KENNEDY OKYERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
1500 WATERS PL, VAN ETTEN CLINIC, BRONX, NY 10461-2723
(718) 829-3440
Mailing address
1500 WATERS PL, BLDG 102, WARD 20, FLOOR 6, BRONX, NY 10461-2723
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007259
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00245643
—
NY
Enumeration date
04/03/2007
Last updated
05/13/2008
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