Provider Demographics
NPI:1336589670
Name:YEBOAH, CHRISTIANA (MD, MPH, WCC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIANA
Middle Name:
Last Name:YEBOAH
Suffix:
Gender:F
Credentials:MD, MPH, WCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-1723
Mailing Address - Country:US
Mailing Address - Phone:954-299-1044
Mailing Address - Fax:954-764-2339
Practice Address - Street 1:285 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-1723
Practice Address - Country:US
Practice Address - Phone:954-299-1044
Practice Address - Fax:954-764-2339
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-01
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261537-1208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice