Provider Demographics
NPI:1205198678
Name:ASIEDU, ALEXANDER BENSON (RN)
Entity Type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:BENSON
Last Name:ASIEDU
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 HAWTHORNE AVE
Mailing Address - Street 2:#C310
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-7509
Mailing Address - Country:US
Mailing Address - Phone:914-410-3222
Mailing Address - Fax:
Practice Address - Street 1:70 HAWTHORNE AVE
Practice Address - Street 2:#C310
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-7509
Practice Address - Country:US
Practice Address - Phone:914-410-3222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY609127-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse