Individual
MELISSA BENBANASTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
641 FOREST AVE, LARCHMONT, NY 10538-1529
(202) 258-5373
Mailing address
641 FOREST AVE, LARCHMONT, NY 10538-1529
(202) 258-5373
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
PENDING
CT
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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