Provider Demographics
NPI:1508486770
Name:LOUIS NKRUMAH MD PLLC
Entity Type:Organization
Organization Name:LOUIS NKRUMAH MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:NKRUMAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-400-1349
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:GLEN HEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11545-0429
Mailing Address - Country:US
Mailing Address - Phone:631-525-1420
Mailing Address - Fax:631-610-4420
Practice Address - Street 1:4 OHIO DR STE 220
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1144
Practice Address - Country:US
Practice Address - Phone:631-525-1420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-17
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY302720OtherLICENSE