Individual
JENNA BENINTENDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2 ROOSEVELT AVE, SUITE 300, SYOSSET, NY 11791-3064
(516) 496-4460
(516) 921-4432
Mailing address
2 ROOSEVELT AVE, SUITE 300, SYOSSET, NY 11791-3064
(516) 496-4460
(516) 921-4432
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
012236-1
NY
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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