Organization
BENJEVO MGT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DZEVAHIRE NELOVIC (PRESIDENT)
(718) 448-3200
Entity
Organization
Contact information
Practice address
2 TOMPKINS AVE, STATEN ISLAND, NY 10304-2621
(718) 448-3200
Mailing address
2 TOMPKINS AVE, STATEN ISLAND, NY 10304-2621
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
B00965
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04842119
—
NY
Enumeration date
11/06/2017
Last updated
11/06/2017
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