Individual
OLA SUNKANMI BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN
Contact information
Practice address
425 ROBINSON ST, BINGHAMTON, NY 13904-1735
(607) 773-4397
(607) 773-4483
Mailing address
933 DELLAPENNA DR, JOHNSON CITY, NY 13790-1301
(718) 785-6665
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
641843-1
NY
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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