Provider Demographics
NPI:1972737070
Name:YAMOAH, MICHAEL KYEI
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:KYEI
Last Name:YAMOAH
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 1:156 E 178TH ST
Mailing Address - Street 2:APT 5B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-4931
Mailing Address - Country:US
Mailing Address - Phone:646-226-1965
Mailing Address - Fax:
Practice Address - Street 1:156 E 178TH ST
Practice Address - Street 2:APT 5B
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-4931
Practice Address - Country:US
Practice Address - Phone:646-226-1965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY592812-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse