Individual
EUNICE BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-3833
Mailing address
1650 JAMES ST, MERRICK, NY 11566-4830
(516) 749-7794
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309894
NY
Other
Enumeration date
12/23/2020
Last updated
08/09/2022
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