NPI 1053876409 · live from the CMS NPI Registry
Priscilla Isabella Ampofo, FNP
Nurse Practitioner, Family in New York, NY. National Provider Identifier 1053876409, active.
NPI record
| NPI | 1053876409 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 1275 York Ave, New York, NY 10065 |
| Practice phone | 212-639-2000 |
| Mailing address | 111 Hollister St, Stratford, CT 06615 |
| Enumerated | February 8, 2019 |
| Last updated | February 8, 2019 |
| Sole proprietor | No |
| Other names | Priscilla Ampofo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 343872 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.