Individual
BRANDY BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
303 MAIN ST, BINGHAMTON, NY 13905-2579
(607) 798-8058
(607) 798-8328
Mailing address
303 MAIN ST, BINGHAMTON, NY 13905-2579
(607) 798-8058
(607) 798-8328
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
546461
NY
363L00000X
Nurse Practitioner
Primary
338343
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03807536
—
NY
Enumeration date
09/25/2013
Last updated
05/09/2017
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