MEDICARE: DR. EDWARD OFORI ADDO

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
1	101YM0800X	Mental Health Counselor		FL

General Provider Information

NPI Number	:	1093653677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD OFORI ADDO

Provider Business Mailing Address
First Line	:	140 DE KRUIF PL APT 28J
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-2215
Country	:	US
Telephone Number	:	718-581-4139
Fax Number	:	718-581-4139

Provider Business Practice Location Address
First Line	:	140 DE KRUIF PL APT 28J
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-2215
Country	:	US
Telephone Number	:	718-581-4139
Fax Number	:	718-581-4139

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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