Individual provider · Type 1 NPI

Emmanuel Koomson

Primary Care Nurse Practitioner · New Hyde Park, NY

NPI number 1821673138 Active

Practice location

1985 Marcus Ave Ste 110
New Hyde Park, NY 11042-2024

Mailing address

2307 Palmer Ave Apt B
New Rochelle, NY 10801-2931

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X346440 (NY)

Primary Care Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1821673138

Emmanuel Koomson's National Provider Identifier is 1821673138, issued on Mar 17, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in New Hyde Park, NY. The record was last updated on Mar 17, 2021.