Provider Demographics
NPI:1770047573
Name:ADU GYAMFI, SETH
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:
Last Name:ADU GYAMFI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2390 DAVIDSON AVE APT 3E
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468-7833
Mailing Address - Country:US
Mailing Address - Phone:929-239-1097
Mailing Address - Fax:
Practice Address - Street 1:2390 DAVIDSON AVE APT 3E
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-7833
Practice Address - Country:US
Practice Address - Phone:929-239-1097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-25
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY736858163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse