EBENEZER KOFI BENTUM ODOOM

FRESH MEADOWS, NY
NPI1154416691
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
(Licence: NY  230787-1)
Enumeration Date2006-10-03
Last Update Date2008-04-03
Business Address
-- EBENEZER KOFI BENTUM ODOOM MD
182-19 HORACE HARDING EXPRESSWAY
FRESH MEADOWS, NY 11365
Phone number: 718-670-2903
Mailing Address
-- EBENEZER KOFI BENTUM ODOOM MD
PO BOX 27842
NEW YORK, NY 10087
Phone number: 718-670-1651
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