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Maxwell Boasiako Antwi

Nurse Practitioner in Williamsville, NY. Individual provider (NPI-1).

NPI number1336770718
StatusActive
Last updated in NPPESFeb 7, 2023

Details

NPI
1336770718
Entity type
Individual (NPI-1)
Name
Maxwell Boasiako Antwi
Sex
Male
Sole proprietor
No
Enumeration date
Feb 4, 2020
Certification date
Feb 7, 2023
Last updated
Feb 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner309224NYYes
363LA2200X Nurse Practitioner, Adult Health309224NY

Practice location

40 George Karl Blvd
Williamsville, NY 14221-7183

Phone 716-218-1000 · Fax 716-923-4384

Mailing address

4979 Harlem Rd
Amherst, NY 14226-2547

Phone 716-923-4381 · Fax 716-923-4384

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