Individual
CHINONYE BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85-35 LEFFERT BLVD, KEW GARDENS, QUEENS, NY 11415
(646) 377-2121
Mailing address
85-35 LEFFERT BLVD, KEW GARDENS, QUEENS, NY 11415
(646) 377-2121
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304986
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304986
—
NY
Enumeration date
03/09/2016
Last updated
03/09/2016
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