Benjamin, Henrietta

Benjamin, Henrietta is an individual health care provider with primary practice located at 501 Swanson Dr , Thornwood NY 10594. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Benjamin, Henrietta can be contacted via phone (914) 769-3630.

Contact Information

Primary practice address
501 Swanson Dr Thornwood NY 10594
Phone: (914) 769-3630
Fax: (914) 769-3632
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 0854891 New York

Profile Details

NPI number 1518168277
LBN Legal business name Benjamin, Henrietta
Credentials LICENSED PRACTICAL N
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Jul 8th, 2007 - about 18 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 1518168277 NPPES
New York MEDICAID 02743951

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