Provider Demographics
NPI:1134606940
Name:AKOSUA ABANKWAH NURSE PRACTITIONER IN ADULT HEALTH PC
Entity type:Organization
Organization Name:AKOSUA ABANKWAH NURSE PRACTITIONER IN ADULT HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:AKOSUA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABANKWAH
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:917-364-6229
Mailing Address - Street 1:1787 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-4518
Mailing Address - Country:US
Mailing Address - Phone:212-348-9400
Mailing Address - Fax:212-348-9411
Practice Address - Street 1:1787 MADISON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-4518
Practice Address - Country:US
Practice Address - Phone:212-348-9400
Practice Address - Fax:212-348-9411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty