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1013772128
FOSUA AGYENIM BOATENG
MOUNT VERNON, NY
NPI
1013772128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 405667)
Enumeration Date
2024-02-19
Last Update Date
2024-02-19
Business Address
FOSUA AGYENIM BOATENG PMHNP
6 GRAMATAN AVE STE 606
MOUNT VERNON, NY 10550-3208
Phone number: 212-961-7299
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Mailing Address
FOSUA AGYENIM BOATENG PMHNP
207 HOOVER RD APT 2
YONKERS, NY 10710-3440
Phone number: 914-536-7623
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