Individual ProviderOsamede AghoStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address169 Riverside Dr, Binghamton, NY 13905-4246(607) 798-5725(516) 855-5255PECOS EnrollmentBased on the most recent information from CMS, provider Osamede Agho is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1386366862Provider TypeIndividualFull NameAgho, OsamedeGenderMaleSole ProprietorNoEnumeration Date9/13/2022Last Updated4/2/2024Contact InformationPractice LocationPractice Address169 Riverside Dr, Binghamton, NY 13905-4246Phone(607) 798-5725FaxUnlisted FaxMailing LocationMailing Address150 Eileen Way Unit 1, Syosset, NY 11791-5313Phone(516) 855-5255FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer