Individual
BLANCHE S BENENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1225 MORRIS PARK AVE, RFK-CERC, BRONX, NY 10461
(718) 839-7038
(718) 862-1845
Mailing address
4 HILLTOP RD, LARCHMONT, NY 10538-1119
(718) 839-7038
(718) 862-1845
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
176595
NY
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
176595
NY
Other
Enumeration date
11/10/2006
Last updated
06/04/2019
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