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Individual

BRIANA M. BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
50 NEW SCOTLAND AVE, DIVISION OF PLASTIC SURGERY; MAIL CODE 190, ALBANY, NY 12208-3403
(518) 262-2229
Mailing address
50 NEW SCOTLAND AVE, DIVISION OF PLASTIC SURGERY; MAIL CODE 190, ALBANY, NY 12208-3403
(518) 262-2229

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
017745
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03985059
NY
Enumeration date
07/15/2014
Last updated
01/21/2017
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