Individual
BENNY RIGOBERTO GUILLERMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
227 MADISON ST, NEW YORK, NY 10002-7537
(212) 238-7680
(212) 238-7009
Mailing address
1631 STEPHEN ST, RIDGEWOOD, NY 11385-5345
(917) 444-0966
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
309208
NY
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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