Individual
MR. LUKE JOHN BENVENUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
630 WEST 168TH STREET, NEW YORK, NY 10032
(212) 342-3882
Mailing address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 342-5155
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
269140
NY
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
04/29/2010
Last updated
12/07/2023
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