IndividualActive
Boahen Kwakye, AGNP
NPI 1124503669 · Adult Medicine Physician · New Hyde Park, NY
Provider details
- NPI number
- 1124503669
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- AGNP
- Sex
- Male
- Sole proprietor
- Yes
- License
- F308264-1 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3000 Marcus Ave Ste 2w15
New Hyde Park, NY 11042-1005
Phone: (855) 201-4988
Approximate (ZIP-level) locationGet directions
Mailing address
140 De Kruif Pl Apt 2b
Bronx, NY 10475-2248
Additional practice locations (1)
- 443 Donelson Pike Ste 200Nashville, TN 37214-3571Phone: (860) 207-8633
Registry dates
- Enumerated
- 2018-10-01
- Last updated
- 2019-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.