Provider Demographics
NPI:1952653032
Name:DUAH, ALFREDINA ADDAI (LPN)
Entity Type:Individual
Prefix:MISS
First Name:ALFREDINA
Middle Name:ADDAI
Last Name:DUAH
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 UNIVERSITY AVE.
Mailing Address - Street 2:APT. 2D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10453
Mailing Address - Country:US
Mailing Address - Phone:347-591-4005
Mailing Address - Fax:
Practice Address - Street 1:1821 UNIVERSITY AVE.
Practice Address - Street 2:APT. 2D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10453
Practice Address - Country:US
Practice Address - Phone:347-591-4005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-12
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY307384-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse