Provider Demographics
NPI:1629865266
Name:AYISI, KWASI OFORI
Entity type:Individual
Prefix:
First Name:KWASI
Middle Name:OFORI
Last Name:AYISI
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 1:140 ALCOTT PL APT 4B
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-4345
Mailing Address - Country:US
Mailing Address - Phone:347-429-5522
Mailing Address - Fax:
Practice Address - Street 1:140 ALCOTT PL APT 4B
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-4345
Practice Address - Country:US
Practice Address - Phone:347-429-5522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter