Individual
KEISHA NERISSA BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
56-45 MAIN STREET, QUEENS, NY 11355-2056
(718) 670-2000
Mailing address
890 BROOKLYN AVE APT 2F, BROOKLYN, NY 11203-2838
(734) 330-3398
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
266608
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2008
Last updated
10/21/2019
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