Individual
LAURA BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3424 KOSSUTH AVE, BRONX, NY 10467-2410
(718) 918-6300
Mailing address
3424 KOSSUTH AVE, BRONX, NY 10467-2410
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
300186
NY
Other
Enumeration date
04/21/2015
Last updated
11/21/2019
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