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NPI Code Detail

MEDICARE: BENJAMIN ORIEKHOE

MEDICARE:   BENJAMIN  ORIEKHOE
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
1164W00000XLicensed Practical Nurse288854NY

General Provider Information

NPI Number : 1720232507
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN ORIEKHOE
Provider Business Mailing Address
First Line : 2052 TILLOTSON AVE
Second Line :
City : BRONX
State : NY
Zip : 10475-1560
Country : US
Telephone Number : 718-865-7843
Fax Number :
Provider Business Practice Location Address
First Line : 2052 TILLOTSON AVE
Second Line :
City : BRONX
State : NY
Zip : 10475-1560
Country : US
Telephone Number : 718-865-7843
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2008
Last Update Date : 11/06/2008

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Directions to “ BENJAMIN ORIEKHOE ” Practice Location

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