Individual
MRS. JENNIFER ANNE BENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
156 1ST ST, MINEOLA, NY 11501-4084
(516) 741-4082
(516) 741-3681
Mailing address
156 1ST ST, MINEOL, NY 11501
(516) 741-4082
(516) 741-3681
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381474-1
NY
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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