Individual
DR. RICCARDO BENVENUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7501
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
045894
NY
207P00000X
Emergency Medicine Physician
Primary
247566
NY
Other
Enumeration date
02/15/2010
Last updated
02/18/2010
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