Search › New York › 164W00000X
Samuel Boadu
NPI 1760741540 · on the registry since 2012 · sole proprietor
Practice
- Address
- 124 Westwood Dr
Brentwood, NY 11717 - Phone
- (631) 704-9874
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-05-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York