Irish-Benjamin, Kathy Ann Carol
Irish-Benjamin, Kathy Ann Carol is an individual health care provider with primary practice located at 1801 Black River Blvd N , Rome NY 13440-2427. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Irish-Benjamin, Kathy Ann Carol can be contacted via phone (315) 337-3770.Contact Information
Primary practice address
1801 Black River Blvd N
Rome NY 13440-2427
Phone: (315) 337-3770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 172945 | New York |
Profile Details
| NPI number | 1518939305 |
|---|---|
| LBN Legal business name | Irish-Benjamin, Kathy Ann Carol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Mar 22nd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518939305 | NPPES |
| New York | MEDICAID | 01402937 |
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