Individual
LYNA BENANTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 CENTURY HILL DR STE 207, LATHAM, NY 12110-2128
(518) 238-5927
Mailing address
2 BROOM SHOP LN APT 101, LATHAM, NY 12110-2218
(518) 238-5927
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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