Ebenezer Kofi Bentum Odoom, MD
Ebenezer Kofi Bentum Odoom, MD is an Internal Medicine in Queens Village, New York. Qualified in 1993, 33 years ago. Practices with Primary Partnercare Physicians PLLC, an 18-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 33
- Licensed in
- NY
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
21530 Hillside AveQueens Village, NY 11427-1831
Phone: (718) 740-1701
Fax: (718) 740-1901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RG0300X · Licence 230787 (NY) |
|---|
Record details
| NPI number | 1154416691 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | October 3, 2006 |
| Last updated in NPPES | October 23, 2024 |
| Certification date | October 23, 2024 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Also practises | GERIATRIC MEDICINE, PEDIATRIC MEDICINE |
| Medical school | OTHER |
| Graduated | 1993 (33 years in practice) |
| Group practice | Primary Partnercare Physicians Pllc — 18 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Queens Village
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Ebenezer Odoom MD PC
21530 Hillside Ave, Queens Village, NY 11427-1831 · (718) 740-1701