Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 169455 | NY |
NPI | 1114007135 |
---|---|
Provider Name | Samuel K Agyare |
First Address | Brooklyn, NY 11206-5317 |
Second Address | Brooklyn, NY 11206-5317 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 08/07/2007 |