Provider Demographics
NPI:1700405768
Name:BOAITEY-ADJEI, JANET (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:BOAITEY-ADJEI
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 HEITMAN DR APT J
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-6078
Mailing Address - Country:US
Mailing Address - Phone:347-279-1618
Mailing Address - Fax:
Practice Address - Street 1:11 AUBURN DR
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-5823
Practice Address - Country:US
Practice Address - Phone:347-279-1618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-10
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF346904363LF0000X
NY679537163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse