National Provider Identifier

Maxwell Boasiako Antwi

Maxwell Boasiako Antwi is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Williamsville, NY and a listed phone number of (716) 218-1000.

NPI 1336770718Williamsville, NYNurse Practitioner

Profile Overview

NPI
1336770718
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
February 04, 2020
Last Updated
February 07, 2023

Practice Location

  • 40 George Karl Blvd
  • Williamsville, NY 14221-7183

Phone: (716) 218-1000

Mailing Address

  • 4979 Harlem RD
  • Amherst, NY 14226-2547

Specialties

  • Nurse Practitioner (363L00000X)
  • Adult Health Nurse Practitioner (363LA2200X)
Full Record
NPI
1336770718
Entity Type
Individual
Last Name
Antwi
First Name
Maxwell
Middle Name
Boasiako
Mailing Street Address
4979 Harlem RD
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-2547
Mailing Country
US
Mailing Phone
(716) 923-4381
Mailing Fax
(716) 923-4384
Practice Street Address
40 George Karl Blvd
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-7183
Practice Country
US
Practice Phone
(716) 218-1000
Practice Fax
(716) 923-4384
Enumeration Date
February 04, 2020
Last Updated
February 07, 2023
Sex
Male
Sole Proprietor
No
Certification Date
February 07, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X), Adult Health Nurse Practitioner (363LA2200X)