Individual
BENSON MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9131 QUEENS BLVD, SUITE 201, ELMHURST, NY 11373-5501
(718) 281-8799
(516) 570-4099
Mailing address
9131 QUEENS BLVD, SUITE 201, ELMHURST, NY 11373-5501
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
282470
NY
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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