National Provider Identifier

Benjamin King, DO

Benjamin King, DO is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Elmira, NY and a listed phone number of (607) 737-8157.

NPI 1063876472Elmira, NYEmergency Medicine Physician

Profile Overview

NPI
1063876472
Provider Type
Individual
Primary Specialty
Emergency Medicine Physician
Enumeration Date
April 12, 2016
Last Updated
March 29, 2024

Practice Location

  • 602 Ivy St
  • Elmira, NY 14905-1646

Phone: (607) 737-8157

Mailing Address

  • 1412 Milstead Ave Ne
  • Conyers, GA 30012-3877

Specialties

  • Emergency Medicine Physician (207P00000X)
  • Emergency Medicine Physician (207P00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1063876472
Entity Type
Individual
Last Name
King
First Name
Benjamin
Credential
DO
Mailing Street Address
1412 Milstead Ave Ne
Mailing City
Conyers
Mailing State
GA
Mailing ZIP Code
30012-3877
Mailing Country
US
Practice Street Address
602 Ivy St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-1646
Practice Country
US
Practice Phone
(607) 737-8157
Enumeration Date
April 12, 2016
Last Updated
March 29, 2024
Sex
Male
Sole Proprietor
Yes
Certification Date
March 29, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Emergency Medicine Physician (207P00000X), Emergency Medicine Physician (207P00000X), Student in an Organized Health Care Education/Training Program (390200000X)