Ebony R Acheampong
Individual provider Active NPI Specialist · Tarrytown, NY
NPI 1245875285 · NPPES record last updated Nov 13, 2019
Key facts
- NPI
- 1245875285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 1656 Crescent Dr
Tarrytown, NY 10591-5843 - Phone
- (914) 384-9775
- NPI assigned
- Nov 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
1656 Crescent Dr
Tarrytown, NY 10591-5843
Mailing address
1656 Crescent Dr
Tarrytown, NY 10591-5843
Phone (914) 384-9775
Other providers in Tarrytown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.