Provider Demographics
NPI:1205265006
Name:ABOAGYE, PATIENCE
Entity type:Individual
Prefix:MS
First Name:PATIENCE
Middle Name:
Last Name:ABOAGYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PATIENCE
Other - Middle Name:ANANE
Other - Last Name:ABOAGYE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN BSN BC
Mailing Address - Street 1:3210 BRUNER AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-3125
Mailing Address - Country:US
Mailing Address - Phone:718-320-8600
Mailing Address - Fax:
Practice Address - Street 1:3210 BRUNER AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-3125
Practice Address - Country:US
Practice Address - Phone:718-320-8600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY433311163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse