MEDICARE: LOUIS NKRUMAH MD PLLC

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	207T00000X	Neurological Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	302720	OTHER	NY	LICENSE

General Provider Information

NPI Number	:	1508486770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOUIS NKRUMAH MD PLLC

Provider Business Mailing Address
First Line	:	PO BOX 429
Second Line	:
City	:	GLEN HEAD
State	:	NY
Zip	:	11545-0429
Country	:	US
Telephone Number	:	631-525-1420
Fax Number	:	631-610-4420

Provider Business Practice Location Address
First Line	:	4 OHIO DR STE 220
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1144
Country	:	US
Telephone Number	:	631-525-1420
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LOUIS J NKRUMAH
Credential	:	MD
Telephone Number	:	646-400-1349

Provider Enumeration Date	:	04/17/2020
Last Update Date	:	12/13/2023

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