Provider Demographics
NPI:1619292992
Name:NYARKO, PATRICIA A (MD, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:A
Last Name:NYARKO
Suffix:
Gender:F
Credentials:MD, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 CONTINENTAL AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-3902
Mailing Address - Country:US
Mailing Address - Phone:917-648-2971
Mailing Address - Fax:
Practice Address - Street 1:3632 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-5726
Practice Address - Country:US
Practice Address - Phone:347-449-6513
Practice Address - Fax:347-449-6514
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-30
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048971183500000X
MD16089183500000X
PARP046420183500000X
MI4301096280207Q00000X
NY0489711183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine