Provider Demographics
NPI:1144821158
Name:OSEI, AENEAS KWAME (RN)
Entity type:Individual
Prefix:
First Name:AENEAS
Middle Name:KWAME
Last Name:OSEI
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 HORSESHOE WAY
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-2334
Mailing Address - Country:US
Mailing Address - Phone:646-546-0422
Mailing Address - Fax:
Practice Address - Street 1:28 HORSESHOE WAY
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-2334
Practice Address - Country:US
Practice Address - Phone:646-546-0422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-05
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY739260163W00000X
PASP031005363LP0808X
NY406511363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse