Individual provider · NPI-1

Zacheriah Robert Benton, MD

Family Medicine · Middletown, NY

NPI number1497337794
StatusActive
Last updated in NPPESAug 6, 2024

Details

NPI
1497337794
Entity type
Individual (NPI-1)
Name
Zacheriah Robert Benton
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 26, 2021
Certification date
Aug 6, 2024
Last updated
Aug 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine331675NYYes

Practice location

155 Crystal Run Rd
Middletown, NY 10941-4028

Phone 845-703-6999 · Fax 845-703-6297

Mailing address

145 Avalon Gardens Dr
Nanuet, NY 10954-7424

Phone 347-435-5795

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