Boahene, Kwabena A

Boahene, Kwabena A is an individual health care provider with primary practice located at 739 Irving Ave Suite 500, Syracuse NY 13210-1664. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Boahene, Kwabena A can be contacted via phone (315) 470-7409.

Contact Information

Primary practice address
739 Irving Ave Suite 500 Syracuse NY 13210-1664
Phone: (315) 470-7409
Fax: (315) 475-2357
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 153762 New York
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 153762 New York

Profile Details

NPI number 1528032240
LBN Legal business name Boahene, Kwabena A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated May 2nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528032240 NPPES
New York MEDICAID 00923097

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