| Dr Kyei Family Practice | |
|
3853 White Plains Rd Bronx NY 10467-5115 | |
| (347) 697-7168 | |
| (347) 697-7169 |
| Full Name | Dr Kyei Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 3853 White Plains Rd, Bronx, New York |
| Authorized Official Name and Position | Afua Kyei-anti (OWNER) |
| Authorized Official Contact | 6317904945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kyei Family Practice 3853 White Plains Rd Bronx NY 10467-5115 Ph: (347) 697-7168 | Dr Kyei Family Practice 3853 White Plains Rd Bronx NY 10467-5115 Ph: (347) 697-7168 |
| NPI Number | 1770075855 |
|---|---|
| Provider Enumeration Date | 06/04/2018 |
| Last Update Date | 05/19/2022 |
| Medicare PECOS PAC ID | 5193106813 |
|---|---|
| Medicare Enrollment ID | O20220713000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770075855 | NPI | - | NPPES |
| 03415318 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 263391 (New York) | Primary |
| Provider Name | Afua A Kyei-anti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235304106 PECOS PAC ID: 4082845607 Enrollment ID: I20140325001250 |
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