Individual provider · NPI-1

Brandy Benjamin, FNP

Nurse Practitioner · Binghamton, NY

NPI number1689000366
StatusActive
Last updated in NPPESMay 9, 2017

Details

NPI
1689000366
Entity type
Individual (NPI-1)
Name
Brandy Benjamin
Credential
FNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 25, 2013
Last updated
May 9, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner338343NYYes
163W00000X Registered Nurse546461NY

Practice location

303 Main St
Binghamton, NY 13905-2579

Phone 607-798-8058 · Fax 607-798-8328

Mailing address

303 Main St
Binghamton, NY 13905-2579

Phone 607-798-8058 · Fax 607-798-8328

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