Individual
AMANDA G BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2703 MARTIN LUTHER KING JR AVE SE STOP 7201, WASHINGTON, DC 20593-1707
(202) 372-4100
Mailing address
2703 MARTIN LUTHER KING JR AVE SE STOP 7201, WASHINGTON, DC 20593-7201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020857
NY
Other
Enumeration date
07/05/2017
Last updated
11/19/2021
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