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Individual

DR. CHRISTIE MAE BRYANT-BENSON

Active
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Individual

DR. CHRISTIE MAE BRYANT-BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3390
SC
111N00000X
Chiropractor
X010849
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175965AN
PREFERRED CARE
NY
01
—
3390
SC DC LICENSE
SC
01
—
629920
AETNA
NY
01
—
9416263
PHCS
NY
01
—
PO10010849
BLUE CHOICE
NY
01
—
PO20010849
BLUE CROSS/BLUE SHIELD
NY
Enumeration date
09/25/2006
Last updated
04/09/2018
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