Ebenezer Kofi Bentum Odoom
Geriatric Medicine
182-19 Horace Harding Expressway
Fresh Meadows
, New York 11365
Ebenezer Kofi Bentum Odoom
Geriatric Medicine
182-19 Horace Harding Expressway
Fresh Meadows
, New York 11365
(516) 437-4167
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Ebenezer Kofi Bentum Odoom
- Po Box 27842
- New York, NY
- Zip : 10087
- Fax : (516) 437-4167
- Phone : (718) 670-1651
Second Address
- Ebenezer Kofi Bentum Odoom
- 182-19 Horace Harding Expressway
- Fresh Meadows, NY
- Zip : 11365
- Fax : (516) 437-4167
- Phone : (718) 670-2903
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FAQs
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Is Ebenezer Kofi Bentum Odoom board certified?
What type of doctor is Ebenezer Kofi Bentum Odoom
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Where is Ebenezer Kofi Bentum Odoom ’s practice located?
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Is Ebenezer Kofi Bentum Odoom a sole practitioner?
Is Ebenezer Kofi Bentum Odoom accepting new patients?
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Does Ebenezer Kofi Bentum Odoom have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 230787-1 | NY |
National Provider Identifier
| NPI | 1154416691 |
|---|---|
| Provider Name | Ebenezer Kofi Bentum Odoom |
| First Address | New York, NY 10087 |
| Second Address | Fresh Meadows, NY 11365 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2006 |
| Last Update Date | 03/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I03864 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.