Individual provider · Type 1 NPI
Edward Boateng, PHYSICIAN ASSISTANT
Critical Access Hospital · New York, NY
NPI number
1255502019
Active
Practice location
506 Lenox Ave, Mlk-Pavilion, 12 Th Floor, Surgery Department
New York, NY 10037-1802
Mailing address
375 Selma St
Philadelphia, PA 19116-2719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Access Hospital Primary | 282NC0060X | 010207 (NY) |
Critical Access Hospital: Definition to come.
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About NPI 1255502019
Edward Boateng, PHYSICIAN ASSISTANT's National Provider Identifier is 1255502019, issued on Mar 19, 2008. The primary taxonomy on file is Critical Access Hospital (282NC0060X), and the practice location is in New York, NY. The record was last updated on Mar 19, 2008.