Individual
ANTOINETTE BENITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1049 TULSA ST, UNIONDALE, NY 11553-1615
(516) 280-8537
Mailing address
1049 TULSA ST, UNIONDALE, NY 11553-1615
(516) 280-8537
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
628022
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
628022
RN LICENSE
NY
Enumeration date
03/20/2012
Last updated
03/20/2012
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