Individual
MS. ALEYAMMA BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2488 GRAND CONCOURSE, FOURTH FLOOR ROOM 424, BRONX, NY 10458-5203
(212) 695-5122
(516) 484-6084
Mailing address
61 MANORHAVEN BLVD, PORT WASHINGTON, NY 11050-1627
(516) 883-7100
(516) 883-7474
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302961
NY
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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