Benjamin Shirley , Dds, Pc

NPI 1073897609 - Dentist - 1223G0001X

NPI Details
NPI 1073897609
Enumeration Date 09/30/2011
Last Updated 09/30/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name BENJAMIN BANNEKER BENJAMIN
Position DENTIST
Phone (917) 667-6015
Fax
Practice Location
992 COLUMBUS AVE
NEW YORK NY, 10025-2501, US
Phone (917) 667-6015
Fax
Business Location
992 COLUMBUS AVE
NEW YORK NY, 10025-2501, US
Phone (917) 667-6015
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 0543381
Remove 1073897609 NPI Number
 

According to our database, Benjamin Shirley , Dds, Pc NPI is 1073897609, taxonomy code is 1223G0001X and license number is 0543381, license state is located at New York. Benjamin Shirley , Dds, Pc physically located at 992 Columbus Ave, New York NY, 10025-2501. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1073897609 NPI number is provided on an as is basis without warranty of any kind. 1073897609 is maintained by the National Plan & Provider Enumeration System. The contents of Benjamin Shirley , Dds, Pc are for informational purposes only.