MEDICARE: MR. KWAME BONSU AWUAH RPA-C

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	363AM0700X	Medical Physician Assistant	009643-1	NY

General Provider Information

NPI Number	:	1356486914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KWAME BONSU AWUAH RPA-C

Provider Business Mailing Address
First Line	:	260 53RD ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-1717
Country	:	US
Telephone Number	:	347-248-0744
Fax Number	:

Provider Business Practice Location Address
First Line	:	521 W 42ND ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10036-6203
Country	:	US
Telephone Number	:	212-695-4444
Fax Number	:	929-200-8895

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

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	03/14/2025

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Directions to “ MR. KWAME BONSU AWUAH RPA-C” Practice Location

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