Benjamin, Keisha Nerissa

Benjamin, Keisha Nerissa is an sole proprietor health care provider with primary practice located at 56-45 Main Street , Queens NY 11355-2056. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Benjamin, Keisha Nerissa can be contacted via phone (718) 670-2000.

Contact Information

Primary practice address
56-45 Main Street Queens NY 11355-2056
Phone: (718) 670-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 266608 New York

Profile Details

NPI number 1154596930
LBN Legal business name Benjamin, Keisha Nerissa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2008
Last updated Oct 21st, 2019 - about 6 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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