Basic Information
Provider Information
NPI: 1952560575
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DARKEH
FirstName: AYIM
MiddleName: KWAME
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 532 ALICIA DR
Address2:  
City: WESTBURY
State: NY
PostalCode: 115901311
CountryCode: US
TelephoneNumber: 5165267411
FaxNumber:  
Practice Location
Address1: 451 CLARKSON AVE
Address2: DEPARTMENT OF EMERGENCY MEDICINE
City: BROOKLYN
State: NY
PostalCode: 112032057
CountryCode: US
TelephoneNumber: 7182453318
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/09/2008
LastUpdateDate: 06/09/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X248843NYY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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