Healthcare Provider Details

I. General information

NPI: 1871926261
Provider Name (Legal Business Name): DAISY EWURAKUA CONDUAH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2013
Last Update Date: 03/29/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2385 ARTHUR AVE APT 204
BRONX NY
10458-8146
US

IV. Provider business mailing address

301 PROSPECT AVE # MSO
SYRACUSE NY
13203-1899
US

V. Phone/Fax

Practice location:
  • Phone: 718-933-0441
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number72895
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number336018
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: