Provider Demographics
NPI:1629223862
Name:SAFO, AKOSUA KWAKYEWA
Entity Type:Individual
Prefix:MRS
First Name:AKOSUA
Middle Name:KWAKYEWA
Last Name:SAFO
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 1:711 WHITE PLAINS RD
Mailing Address - Street 2:APT 3E
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-2632
Mailing Address - Country:US
Mailing Address - Phone:718-200-9107
Mailing Address - Fax:
Practice Address - Street 1:711 WHITE PLAINS RD
Practice Address - Street 2:APT 3E
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-2632
Practice Address - Country:US
Practice Address - Phone:718-200-9107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY290993-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse