Individual
TAMARA BENOIT JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 FLETCHER RD APT D, MONSEY, NY 10952-3207
(845) 537-6816
Mailing address
5 FLETCHER RD APT D, MONSEY, NY 10952-3207
(845) 537-6816
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
323238
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123
—
NY
05
—
001234
—
NY
Enumeration date
10/06/2015
Last updated
10/06/2015
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