MEDICARE: KWABENA A POKU

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	172A00000X	Driver		NY

General Provider Information

NPI Number	:	1295669570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KWABENA A POKU

Provider Business Mailing Address
First Line	:	465 TUCKAHOE RD # 1280
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10710-5707
Country	:	US
Telephone Number	:	914-343-8209
Fax Number	:

Provider Business Practice Location Address
First Line	:	465 TUCKAHOE RD # 1280
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10710-5707
Country	:	US
Telephone Number	:	914-343-8209
Fax Number	:

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

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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Directions to “ KWABENA A POKU ” Practice Location

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