Individual
DOREEN ESTHER AMANKWAH OWUSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 MEDFORD AVE, PATCHOGUE, NY 11772-1206
(631) 475-5734
Mailing address
130 MEDFORD AVE, PATCHOGUE, NY 11772-1206
(631) 475-5734
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
312122
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2018
Last updated
07/28/2021
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