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Individual

MR. BENIST SANON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-3271
(212) 562-3274
Mailing address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-3271
(212) 562-3274

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F339597-1
NY

Other

Enumeration date
05/09/2018
Last updated
05/09/2018
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