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NPI Code Detail

MEDICARE: RODA OWUSU ANKOMAH

MEDICARE: RODA OWUSU ANKOMAH
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
1163W00000XRegistered Nurse902150NY

General Provider Information

NPI Number : 1407644107
Entity Type Code : Individual
Provider Name (Legal Business Name) : RODA OWUSU ANKOMAH
Provider Business Mailing Address
First Line : 100 EINSTEIN LOOP APT 8E
Second Line :
City : BRONX
State : NY
Zip : 10475-4970
Country : US
Telephone Number : 914-357-6826
Fax Number :
Provider Business Practice Location Address
First Line : 2811 QUEENS PLZ N FL 5
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-4172
Country : US
Telephone Number : 718-391-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2025
Last Update Date : 04/30/2025

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Directions to “ RODA OWUSU ANKOMAH ” Practice Location

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