Individual
MS. CHARLENE BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
257 E MIDDLE COUNTRY RD, SMITHTOWN, NY 11787-2807
(631) 724-4664
(631) 360-7880
Mailing address
257 E MIDDLE COUNTRY RD, SMITHTOWN, NY 11787-2807
(631) 724-4664
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3055181
NY
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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