Provider Demographics
NPI:1437643483
Name:ACQUAAH, DAVID HARRISON
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:HARRISON
Last Name:ACQUAAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 CASALS PL APT 16B
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-3229
Mailing Address - Country:US
Mailing Address - Phone:347-346-7572
Mailing Address - Fax:
Practice Address - Street 1:140 CASALS PL APT 16B
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-3229
Practice Address - Country:US
Practice Address - Phone:347-346-7572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8257848163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse