Individual
DEBRA WITHERSPOON-BENDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
SAMARITAN DAYTOP VILLAGE 138-02 QUEENS BOULEVARD, BRIARWOOD, NY 11435
(845) 647-6575
Mailing address
81 SHAKER HEIGHTS DR 119, MONTICELLO, NY 12701
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
267756-1
NY
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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