Bencosme, Ursulina L

Bencosme, Ursulina L is an individual health care provider with primary practice located at 239 Cranston St , Providence RI 02907. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bencosme, Ursulina L can be contacted via phone (401) 444-0580.

Contact Information

Primary practice address
239 Cranston St Providence RI 02907
Fax: (401) 444-0428
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 217077 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD16633 Rhode Island

Profile Details

NPI number 1639195480
LBN Legal business name Bencosme, Ursulina L
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Dec 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639195480 NPPES
New York MEDICAID 02133420

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