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Samuel Akuoku Physician PC

Clinic/Center, Medical Specialty in Laurelton, NY. Organization (NPI-2).

NPI number1013070366
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1013070366
Entity type
Organization (NPI-2)
Legal business name
Samuel Akuoku Physician PC
Organization subpart
No
Enumeration date
Dec 18, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM2500X Clinic/Center, Medical Specialty178587NYYes

Other names

  • Laurelton Medical Center (Doing Business As)

Practice location

22414 Merrick Blvd
Laurelton, NY 11413-2023

Phone 718-949-6433 · Fax 718-949-0331

Mailing address

22414 Merrick Blvd
Laurelton, NY 11413-2023

Phone 718-949-6433 · Fax 718-949-0331

Authorized official

Samuel Boateng Akuoku
Owner
7189496433

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