Provider Demographics
NPI:1558880831
Name:DANQUAH, ABENAA NYAME
Entity Type:Individual
Prefix:
First Name:ABENAA
Middle Name:NYAME
Last Name:DANQUAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5525 98TH PL APT 1K
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-3006
Mailing Address - Country:US
Mailing Address - Phone:646-204-7853
Mailing Address - Fax:
Practice Address - Street 1:55-25 98TH PLACE
Practice Address - Street 2:APT 1K
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368
Practice Address - Country:US
Practice Address - Phone:646-204-7853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304817-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse