Provider Demographics
NPI:1003635095
Name:ADJEI-DUGBATEY, GIFTY (FNP)
Entity type:Individual
Prefix:
First Name:GIFTY
Middle Name:
Last Name:ADJEI-DUGBATEY
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 1:24 THE RISE
Mailing Address - Street 2:
Mailing Address - City:CONGERS
Mailing Address - State:NY
Mailing Address - Zip Code:10920-2114
Mailing Address - Country:US
Mailing Address - Phone:347-369-8719
Mailing Address - Fax:
Practice Address - Street 1:24 THE RISE
Practice Address - Street 2:
Practice Address - City:CONGERS
Practice Address - State:NY
Practice Address - Zip Code:10920-2114
Practice Address - Country:US
Practice Address - Phone:347-369-8719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF353522-01363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care