Healthcare Provider Details

I. General information

NPI: 1689443665
Provider Name (Legal Business Name): BAFFOUR ARHIN NURSE PRACTITIONER IN FAMILY HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/01/2024
Last Update Date: 05/03/2024
Certification Date: 05/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 LAFAYETTE AVE APT 3A
BROOKLYN NY
11221-1364
US

IV. Provider business mailing address

709 LAFAYETTE AVE APT 3A
BROOKLYN NY
11221-1364
US

V. Phone/Fax

Practice location:
  • Phone: 347-420-1303
  • Fax:
Mailing address:
  • Phone: 347-420-1303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. ELLEN BAFFOUR-ARHIN
Title or Position: NURSE PRACTITIONER
Credential: DNP, FNP-C
Phone: 347-420-1303