Individual
ALYCIA M BENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4102 VESTAL ROAD, VESTAL, NY 13850-2003
(607) 352-1735
(607) 352-7136
Mailing address
169 RIVERSIDE DR, CREDENTIALING DEPARTMENT, BINGHAMTON, NY 13905-4246
(607) 798-5111
(607) 584-5521
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0339821
NY
363LF0000X
Family Nurse Practitioner
339821
NY
Other
Enumeration date
08/25/2015
Last updated
03/07/2017
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