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NPI Code Detail

MEDICARE: EDWINA ASSAN ESSUMAN MBCHB

MEDICARE: EDWINA ASSAN ESSUMAN MBCHB
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
1207R00000XInternal Medicine PhysicianP138469NY

General Provider Information

NPI Number : 1255207197
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWINA ASSAN ESSUMAN MBCHB
Provider Business Mailing Address
First Line : 529 BEACH 20TH ST
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11691-3615
Country : US
Telephone Number : 718-327-7307
Fax Number :
Provider Business Practice Location Address
First Line : 2700 EASTCHESTER RD
Second Line :
City : BRONX
State : NY
Zip : 10469-5923
Country : US
Telephone Number : 718-231-5550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2025
Last Update Date : 10/16/2025

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