Individual
MRS. BENAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, NNP-BC
Contact information
Practice address
1650 GRAND CONCOURSE, OB/GYN, BRONX, NY 10457-7606
(718) 239-8398
(718) 239-8660
Mailing address
1650 GRAND CONCOURSE, OB/GYN, BRONX, NY 10457
(718) 239-8389
(718) 239-8660
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
F350352
NY
363LN0005X
Critical Care Neonatal Nurse Practitioner
LM-0010189
DE
Other
Enumeration date
10/16/2013
Last updated
03/22/2023
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