Individual
MR. EBENEZER PEPRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1850 LAFAYETTE AVENUE, , APT#20G, BRONX, NY 10473
(347) 591-0149
Mailing address
1850 LAFAYETTE AVE, #20G, BRONX, NY 10473-2858
(347) 591-0149
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
259140318
NY
146D00000X
Personal Emergency Response Attendant
Primary
259140318
NY
152WP0200X
Pediatric Optometrist
259140318
NY
390200000X
Student in an Organized Health Care Education/Training Program
259140318
NY
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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