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NPI Code Detail

MEDICARE: FRANK KWABENA YEBOAH LNHA

MEDICARE: FRANK KWABENA YEBOAH LNHA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376G00000XNursing Home AdministratorNH5488MA
2376G00000XNursing Home Administrator3143NJ
3376G00000XNursing Home Administrator05809NY

General Provider Information

NPI Number : 1013473255
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANK KWABENA YEBOAH LNHA
Provider Business Mailing Address
First Line : 8 ROSEBUD CT
Second Line :
City : RENSSELAER
State : NY
Zip : 12144-5620
Country : US
Telephone Number : 518-506-1924
Fax Number :
Provider Business Practice Location Address
First Line : 100 NEW TURNPIKE RD
Second Line :
City : TROY
State : NY
Zip : 12182-1412
Country : US
Telephone Number : 518-235-1410
Fax Number : 518-235-1632
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2019
Last Update Date : 02/12/2019

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