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NPI Code Detail

MEDICARE: CHRISTIANA OPOKU

MEDICARE:   CHRISTIANA  OPOKU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1316437676
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIANA OPOKU
Provider Business Mailing Address
First Line : 14 PEEN PLAZA/225 WEST 34TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10122
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14 PENN PLAZA/225 WEST 34TH STREET,
Second Line : 9TH FLOOR
City : NEW YORK
State : NY
Zip : 11375
Country : US
Telephone Number : 212-804-7659
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2018
Last Update Date : 05/23/2018

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Directions to “ CHRISTIANA OPOKU ” Practice Location

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