Provider Demographics
NPI:1982242319
Name:OHENE TAKYI, LEONARD
Entity type:Individual
Prefix:
First Name:LEONARD
Middle Name:
Last Name:OHENE TAKYI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4180 HUTCHINSON RIVER PKWY E APT 8C
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-4826
Mailing Address - Country:US
Mailing Address - Phone:646-203-7359
Mailing Address - Fax:
Practice Address - Street 1:4180 HUTCHINSON RIVER PKWY E APT 8C
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-4826
Practice Address - Country:US
Practice Address - Phone:347-324-0777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-16
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant