Individual
MRS. GLORIBEL BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 PELHAM PKWY S, BRONX, NY 10461-1003
(718) 409-8202
Mailing address
1000 PELHAM PKWY S, BRONX, NY 10461-1003
(718) 409-8202
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
738348
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
738438
VACCINE
NY
05
—
738438
—
NY
Enumeration date
04/27/2021
Last updated
04/27/2021
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