Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Atta Kutin-Boateng Jr., MD

Individual provider Family Medicine Physician · NPI 1558938027

Atta Kutin-Boateng Jr., MD is a Family Practice in Syracuse, New York. Qualified in 2021, 5 years ago. Practices with Crouse Health Hospital Inc, a 153-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

301 Prospect Ave
Syracuse, NY 13203-1807
Phone: (315) 448-5536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 331134 (NY)

Record details

NPI number1558938027
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2021
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Crouse Health Hospital Inc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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