Organization
RESOURCE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KWAKYE MD (FOUNDER)
(203) 745-8432
Entity
Organization
Contact information
Practice address
480 NETHERLAND AVE, STATEN ISLAND, NY 10303-1828
(203) 745-8432
Mailing address
480 NETHERLAND AVE, STATEN ISLAND, NY 10303-1828
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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