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General NPI Number Information
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NPI Number | 1063033777
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Entity Type | Individual
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Provider Name | KWAME MENSAH QUAYE MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 550 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10016-6402
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Country | US
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Telephone | 212-263-5506
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Fax |
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Provider Business Mailing Address
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Address Line | 8112 WASHINGTON LN
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City | WYNCOTE
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State | PA
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Zip | 19095-1617
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Country | US
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Telephone | 215-205-0310
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 323816
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License Number State | NY
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