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NPI Code Detail

MEDICARE: MR. MAXWELL ANTWI RN

MEDICARE:  MR. MAXWELL  ANTWI  RN
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 Nurse699350-1NY

General Provider Information

NPI Number : 1700240785
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MAXWELL ANTWI RN
Provider Business Mailing Address
First Line : 3905 CARPENTER AVE
Second Line : APT 2J
City : BRONX
State : NY
Zip : 10466-3741
Country : US
Telephone Number : 347-207-1829
Fax Number :
Provider Business Practice Location Address
First Line : 3905 CARPENTER AVE
Second Line : APT 2J
City : BRONX
State : NY
Zip : 10466-3741
Country : US
Telephone Number : 347-207-1829
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2016
Last Update Date : 04/06/2016

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Directions to “ MR. MAXWELL ANTWI RN” Practice Location

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