NPI 1124503669

Boahen Owusu Kwakye, AGNP

Practitioner Adult Medicine Physician New Hyde Park, NY

Practice location

Address: 3000 Marcus Ave STE 2w15, New Hyde Park, NY 11042-1005
Phone: (855) 201-4988
Mailing address: 140 de Kruif Pl APT 2b, Bronx, NY 10475-2248

Registered specialties

Adult Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QA0505X Licence F308264-1 (NY)

Other Family Medicine providers in New York →

Registry record

NPI: 1124503669
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Oct 2018
Record last updated: 31 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.