Provider Demographics
NPI:1255934865
Name:NUNOO, KWAMENA FYNN
Entity type:Individual
Prefix:
First Name:KWAMENA
Middle Name:FYNN
Last Name:NUNOO
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 1:246 KEARNEY AVENUE
Mailing Address - Street 2:NEW YORK
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465
Mailing Address - Country:US
Mailing Address - Phone:646-474-0050
Mailing Address - Fax:
Practice Address - Street 1:HARLEM HOSPITAL
Practice Address - Street 2:506 LENOX AVENUE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1802
Practice Address - Country:US
Practice Address - Phone:212-939-1406
Practice Address - Fax:212-939-1462
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD14561207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine