Emmanuel Appiah Agyemang, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Rosedale, NY
NPI 1699832964 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1699832964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- F304472-1 (NY)
- Practice address
- 25302 147TH Ave
Rosedale, NY 11422-2541 - Phone
- (718) 341-3535
- Fax
- (718) 341-1730
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F304472-1 | NY | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F304472-1 | NY | Yes |
Addresses
Primary practice location
25302 147TH Ave
Rosedale, NY 11422-2541
Mailing address
72 Martha St
Freeport, NY 11520-6211
Phone (516) 608-1111
Other providers in Rosedale, NY
- Olufunmilola Yetunde Ademola
- Ramat Adesanya
- Adenike Adeyeye
- Nastassha Agosto
- Alberta Agyarko
- Malak I Ahmad
- Omodele Akinbajo
- Akintunji Akinyemi
- Maryjane Ogechukwu Akuduiro Nwakor
- Stephen Alexander
All providers in Rosedale, NY · Adult Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.