Provider Demographics
NPI:1982952636
Name:OWUSU, FRANKLIN KWASI (RN)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:KWASI
Last Name:OWUSU
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 E 180TH ST
Mailing Address - Street 2:APT 7B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10460-1328
Mailing Address - Country:US
Mailing Address - Phone:347-858-9973
Mailing Address - Fax:
Practice Address - Street 1:675 3RD AVE
Practice Address - Street 2:5TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-5704
Practice Address - Country:US
Practice Address - Phone:212-204-5184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY657745163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNU06154JMedicaid