Individual
FATIMA MARIELA BENITEZ CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 E 210TH ST, THE BRONX, NY 10467, BRONX, NY 10467
(718) 920-5794
Mailing address
111 E 210TH ST, THE BRONX, NY 10467, BRONX, NY 10467
(718) 920-5794
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311805-01
NY
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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