| NPI | 1568693414 |
|---|---|
| Doing Business As | JACKSON ASAMOAH |
| Entity Type | Organization |
| Authorized Contact | JACKSON ASAMOAH RN 347-558-3176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X (Licence: NY 571561-1) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |