Healthcare Provider Details

I. General information

NPI: 1730345745
Provider Name (Legal Business Name): GIFTY JOYCELYN APPIAH FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: GIFTY JOYCELYN ACKAH FNP

II. Dates (important events)

Enumeration Date: 07/30/2008
Last Update Date: 07/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 AVENUE C
BROOKLYN NY
11218-4101
US

IV. Provider business mailing address

615 AVENUE C
BROOKLYN NY
11218-4101
US

V. Phone/Fax

Practice location:
  • Phone: 718-633-3300
  • Fax: 718-853-8680
Mailing address:
  • Phone: 718-633-3300
  • Fax: 718-853-8680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF335581-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: