Akosua Addo, LPN

Individual provider Active NPI Licensed Practical Nurse · Freeport, NY

NPI 1992007223 · NPPES record last updated Nov 18, 2010

Key facts

NPI
1992007223
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
303317 (NY)
Practice address
97 Layton St
Freeport, NY 11520-6240
Phone
(718) 671-2100
NPI assigned
Nov 18, 2010
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)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 303317 NY Yes

Addresses

Primary practice location

97 Layton St
Freeport, NY 11520-6240

Mailing address

97 Layton St
Freeport, NY 11520-6240

Other providers in Freeport, NY

All providers in Freeport, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.