Provider Demographics
NPI:1801283015
Name:OFORI, DAVID NANA II (PHD, MSC,BA,AAS)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:NANA
Last Name:OFORI
Suffix:II
Gender:M
Credentials:PHD, MSC,BA,AAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 ELENA DR
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-7011
Mailing Address - Country:US
Mailing Address - Phone:914-310-1578
Mailing Address - Fax:914-736-3294
Practice Address - Street 1:11 ELENA DR
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-7011
Practice Address - Country:US
Practice Address - Phone:914-310-1578
Practice Address - Fax:914-736-3294
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-25
Last Update Date:2015-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002194-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist