Individual
LIESEL D BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN WHNP
Contact information
Practice address
87 CERENZIA BLVD, ELMONT, NY 11003-3627
(585) 309-8708
Mailing address
87 CERENZIA BLVD, ELMONT, NY 11003-3627
(585) 309-8708
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
656781-01
NY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F421563-01
NY
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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