Provider Demographics
NPI:1689390650
Name:OHENE DANSOH, LUCINDA ESTHER (FNP)
Entity Type:Individual
Prefix:MS
First Name:LUCINDA
Middle Name:ESTHER
Last Name:OHENE DANSOH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8812 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4489
Mailing Address - Country:US
Mailing Address - Phone:718-280-9680
Mailing Address - Fax:
Practice Address - Street 1:8812 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4489
Practice Address - Country:US
Practice Address - Phone:718-280-9680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY348364363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily