Individual
CHARLES OFORI-AMPOMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1017 BURKE AVE, BRONX, NY 10469-3803
(347) 543-1212
Mailing address
1017 BURKE AVE, BRONX, NY 10469-3803
(347) 543-1212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F342851
NY
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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