Individual
RENETTA BENONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
25311 FRANCIS LEWIS BLVD, ROSEDALE, NY 11422-2627
(301) 613-4844
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
348380
NY
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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