Individual
MS. BENISH YAQOOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3424 KOSSUTH AVE, BRONX, NY 10467-2410
(718) 519-3310
Mailing address
3424 KOSSUTH AVE, BRONX, NY 10467-2410
(718) 519-3310
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3050947
NY
Other
Enumeration date
01/20/2023
Last updated
03/16/2023
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