Esteban A Benavides

NPI 1255687570 - Physician Assistant - 363AM0700X

NPI Details
NPI 1255687570
Gender Male
Enumeration Date 07/24/2012
Last Updated 07/24/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
8616 JAMAICA AVE
WOODHAVEN NY, 11421-2042, US
Phone (718) 805-0037
Fax
Business Location
4850 37TH ST APT 2G
LONG ISLAND CITY NY, 11101-1927, US
Phone (347) 393-7315
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State New York
License Number P84971
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According to our database, Esteban A Benavides NPI is 1255687570, taxonomy code is 363AM0700X and license number is P84971, license state is located at New York. Esteban A Benavides physically located at 8616 Jamaica Ave, Woodhaven NY, 11421-2042. NPI Number Esteban A Benavides has the Individual type.

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1255687570 NPI number is provided on an as is basis without warranty of any kind. 1255687570 is maintained by the National Plan & Provider Enumeration System. The contents of Esteban A Benavides are for informational purposes only.