Joannah Boh, FNP | |
14 S Main St, New City, NY 10956-3545 | |
(347) 421-1508 | |
Not Available |
Full Name | Joannah Boh |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 14 S Main St, New City, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255114807 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 352479 (New York) | Primary |
Entity Name | Divinity Medical Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497159560 PECOS PAC ID: 5193030245 Enrollment ID: O20150818005362 |
Mailing Address | Practice Location Address |
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Joannah Boh, FNP 14 S Main St, New City, NY 10956-3545 Ph: (347) 421-1508 | Joannah Boh, FNP 14 S Main St, New City, NY 10956-3545 Ph: (347) 421-1508 |
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