Provider Demographics
NPI:1750620712
Name:BINEY, ISAAC KWAME
Entity type:Individual
Prefix:MR
First Name:ISAAC
Middle Name:KWAME
Last Name:BINEY
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 1:2975 BENNINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-6001
Mailing Address - Country:US
Mailing Address - Phone:614-943-1870
Mailing Address - Fax:
Practice Address - Street 1:4733 TAMARACK BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-6577
Practice Address - Country:US
Practice Address - Phone:614-312-4277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-11
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver