Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maxwell Boasiako Antwi

Individual provider Adult Health Nurse Practitioner · NPI 1336770718

Maxwell Boasiako Antwi is a Nurse Practitioner in Williamsville, New York. Graduated from State University of New York at Buffalo School of Medicine in 2019, 7 years ago. Practices with Wny Medical PC, a 44-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
7
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

40 George Karl Blvd
Williamsville, NY 14221-7183
Phone: (716) 218-1000
Fax: (716) 923-4384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 309224 (NY)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 309224 (NY)

Record details

NPI number1336770718
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 4, 2020
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 7, 2023
Mailing address4979 Harlem Rd, Amherst, NY 14226-2547

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Wny Medical Pc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Williamsville