Individual
BENJAMIN YAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
7 LOSO DR APT 706, CICERO, NY 13039-7110
(315) 216-8045
Mailing address
7 LOSO DR APT 706, CICERO, NY 13039-7110
(315) 216-8045
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
672214-1
NY
163WP0200X
Pediatric Registered Nurse
672214-1
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
433150
NY
Other
Enumeration date
05/27/2020
Last updated
04/09/2026
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