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Individual
JENNIFFER BENITEZ
Active
Individual
JENNIFFER BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P115241
NY
208D00000X
General Practice Physician
Primary
P115241
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P115241
NEW YORK EDUCATION DEPARTMENT DIVISION OF PROFESSIONAL LICENSING SERVICES
NY
Enumeration date
08/16/2022
Last updated
04/05/2026
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