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NPI Code Detail

MEDICARE: BEN O UMEZE MD

MEDICARE:   BEN O UMEZE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083P0500XPreventive Medicine/Occupational Environmental Medicine Physician152816NY
2208D00000XGeneral Practice Physician152816NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023135100
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEN O UMEZE MD
Provider Business Mailing Address
First Line : 1423 GLOVER STREET
Second Line :
City : BRONX
State : NY
Zip : 10462-4919
Country : US
Telephone Number : 718-597-8383
Fax Number : 718-892-0234
Provider Business Practice Location Address
First Line : 1423 GLOVER STREET
Second Line :
City : BRONX
State : NY
Zip : 10462-4919
Country : US
Telephone Number : 718-597-8383
Fax Number : 718-892-0234
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2007
Last Update Date : 09/08/2014

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Directions to “ BEN O UMEZE MD” Practice Location

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