Provider Demographics
NPI:1205462009
Name:OGAREE, BENJAMIN OWUKORI
Entity type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:OWUKORI
Last Name:OGAREE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 WOOD ST
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-4412
Mailing Address - Country:US
Mailing Address - Phone:914-439-6034
Mailing Address - Fax:
Practice Address - Street 1:6 WOOD ST
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-4412
Practice Address - Country:US
Practice Address - Phone:914-439-6034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-13
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)