Individual
DR. BENITA BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10 MEDICAL PLZ, GLEN COVE, NY 11542-2101
(516) 679-0239
Mailing address
10 MEDICAL PLZ, GLEN COVE, NY 11542-2101
(516) 676-0239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
309326
NY
Other
Enumeration date
04/05/2018
Last updated
07/06/2021
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