Provider Demographics
NPI:1386661163
Name:ANKOBIAH, WILLIAM AKWASI (MD, FACP, FCCP)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:AKWASI
Last Name:ANKOBIAH
Suffix:
Gender:M
Credentials:MD, FACP, FCCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3342 MILBURN AVE
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-5147
Mailing Address - Country:US
Mailing Address - Phone:516-868-9595
Mailing Address - Fax:516-868-9494
Practice Address - Street 1:3342 MILBURN AVE
Practice Address - Street 2:
Practice Address - City:BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-5147
Practice Address - Country:US
Practice Address - Phone:516-868-9595
Practice Address - Fax:516-868-9494
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171192207R00000X
NY171192-8W207RP1001X
KY27059208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64270598Medicaid
NY01145106Medicaid
KY64270598Medicaid
NY01145106Medicaid
NYBA1102223OtherDEA NUMBER
NYE17684Medicare UPIN