Provider Demographics
NPI:1528684107
Name:OSEI-KUFFUOR, ELIZABETH NANA AMA SARPORMA (MD)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:NANA AMA SARPORMA
Last Name:OSEI-KUFFUOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 BROADWAY WOODHULL MEDICAL CENTER,
Mailing Address - Street 2:GME -ROOM 10A216
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206
Mailing Address - Country:US
Mailing Address - Phone:718-963-8779
Mailing Address - Fax:
Practice Address - Street 1:760 BROADWAY WOODHULL HOSPITAL
Practice Address - Street 2:PEDIATRICS ADMINISTRATION 6B23
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206
Practice Address - Country:US
Practice Address - Phone:718-963-8779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-19
Last Update Date:2022-02-02
Deactivation Date:2022-01-17
Deactivation Code:
Reactivation Date:2022-02-02
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program