Organization
CEDI MEDICAL OFFICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KWABENA BOAKYE MD (MEDICAL DIRECTOR)
(718) 220-0900
Entity
Organization
Contact information
Practice address
2940 GRAND CONCOURSE UNIT 1A-1B, BRONX, NY 10458-2611
(718) 220-0900
(718) 733-6773
Mailing address
2940 GRAND CONCOURSE UNIT 1A-1B, BRONX, NY 10458-2611
(718) 220-0900
(718) 733-6773
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
09/11/2020
Last updated
04/30/2021
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