Healthcare Provider Details

I. General information

NPI: 1720808009
Provider Name (Legal Business Name): DR. PATRICK ASAMOAH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2024
Last Update Date: 10/11/2024
Certification Date: 10/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 EARHART DR UNIT 101
BUFFALO NY
14221-7079
US

IV. Provider business mailing address

7 LOMAR DR
GENEVA NY
14456-3221
US

V. Phone/Fax

Practice location:
  • Phone: 716-929-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number071967
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: