Individual
MRS. MAJA IVANOVA BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1899
(315) 448-5111
Mailing address
121 DONALDSON DR, SYRACUSE, NY 13219-1838
(315) 882-7517
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
354461
NY
Other
Enumeration date
06/08/2024
Last updated
06/08/2024
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