Individual
DR. JOHN MA OYIBORHORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D., F.A.A.A., F.A
Contact information
Practice address
207 PROSPECT PARK SW, BROOKLYN, NY 11218-1500
(718) 622-3500
(718) 622-1908
Mailing address
207 PROSPECT PARK SW, BROOKLYN, NY 11218-1500
(718) 622-3500
(718) 622-1908
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
00959
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01316449
—
NY
01
—
165380
ELDERPLAN
NY
01
—
418986P
HIP
NY
01
—
4500089
UNITED HEALTHCARE
NY
01
—
KS723
OXFORD
NY
Enumeration date
01/05/2007
Last updated
05/14/2008
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