Healthcare Provider Details

I. General information

NPI: 1114304698
Provider Name (Legal Business Name): FRANCIS OKO AMARTEIFIO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2015
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 READE PL
POUGHKEEPSIE NY
12601-3947
US

IV. Provider business mailing address

39 CLINTONWOOD DR
NEW WINDSOR NY
12553-7113
US

V. Phone/Fax

Practice location:
  • Phone: 845-239-6719
  • Fax:
Mailing address:
  • Phone: 845-239-6719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberPENDING
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number294032
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: