Provider Demographics
NPI:1972224780
Name:BENKA COKER, STEVE
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:BENKA COKER
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 1:11382 SANDHURST PL
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:MD
Mailing Address - Zip Code:20695-4105
Mailing Address - Country:US
Mailing Address - Phone:718-598-5857
Mailing Address - Fax:
Practice Address - Street 1:11382 SANDHURST PL
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-4105
Practice Address - Country:US
Practice Address - Phone:718-598-5857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200002130376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide