Individual provider · NPI-1

Jennifer Anne Benz, PNP

Nurse Practitioner, Pediatrics · Mineola, NY

NPI number1699007617
StatusActive
Last updated in NPPESFeb 1, 2010

Details

NPI
1699007617
Entity type
Individual (NPI-1)
Name
Mrs. Jennifer Anne Benz
Credential
PNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 1, 2010
Last updated
Feb 1, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsF381474-1NYYes

Practice location

156 1st St
Mineola, NY 11501-4084

Phone 516-741-4082 · Fax 516-741-3681

Mailing address

156 1st St
Mineol, NY 11501

Phone 516-741-4082 · Fax 516-741-3681

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