Most Relevant Information
Provider Data
| NPI Number: | 1003326539 |
| Provider Name: | BENJAMIN OKIN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/11/2017 |
| Last Updated: | 10/11/2017 |
Provider Practice Location
11 W PROSPECT AVE FL 4
MOUNT VERNON
NY
105502017
Practice Location Phone/Fax
| Phone: | 9146688938 |
| Fax: | 9146682545 |
Provider Mailing Location
11 W PROSPECT AVE FL 4
MOUNT VERNON
NY
105502017
Provider Mailing Phone/Fax
| Phone: | 9146688938 |
| Fax: | 9146682545 |