Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | F381814-1 | NY |
NPI | 1073747945 |
---|---|
Provider Name | Adwoa K Donkor |
First Address | Bronx, NY 10473 |
Second Address | Bronx, NY 10462 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2009 |
Last Update Date | 07/05/2009 |