Boakye, Irene

Boakye, Irene is an individual health care provider with primary practice located at 3424 Kossuth Ave , Bronx NY 10467-2410. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Boakye, Irene can be contacted via phone (718) 519-5000.

Contact Information

Primary practice address
3424 Kossuth Ave Bronx NY 10467-2410
Phone: (718) 519-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1053022814
LBN Legal business name Boakye, Irene
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2022
Last updated Dec 12th, 2022 - about 2 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 1053022814 NPPES
Other 029293 PHYSICIAN ASSISTANT LICENSE
MEDICAID TX52501U PHYSICIAN ASSISTANT LICENSE

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