Healthcare Provider Details

I. General information

NPI: 1922465517
Provider Name (Legal Business Name): AKUA DANSOA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2016
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 E 241ST ST
BRONX NY
10470-1303
US

IV. Provider business mailing address

801 E 241ST ST
BRONX NY
10470-1303
US

V. Phone/Fax

Practice location:
  • Phone: 718-671-2100
  • Fax:
Mailing address:
  • Phone: 718-671-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberN38118
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number324460
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: