Individual
BEN O UMEZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1423 GLOVER STREET, BRONX, NY 10462-4919
(718) 597-8383
(718) 892-0234
Mailing address
1423 GLOVER STREET, BRONX, NY 10462-4919
(718) 597-8383
(718) 892-0234
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
152816
NY
208D00000X
General Practice Physician
Primary
152816
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00928074
—
NY
Enumeration date
03/23/2007
Last updated
09/08/2014
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