Individual
MARY BENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
596 5TH AVE, OWEGO, NY 13827-1629
(607) 687-7141
(607) 687-2224
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
330458
NY
Other
Enumeration date
09/23/2005
Last updated
11/18/2011
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