Mr. Shane Daniel Benson - Staten Island, NY

Mr. Shane Daniel Benson

Military Health Care Provider in Staten Island, New York

NPI 1417134016

Shane Daniel Benson is a Military Health Care Provider based in Staten Island, NY. Shane Daniel Benson practices in Staten Island, NY. The NPI Number for Shane Daniel Benson is 1417134016 and holds a License No. (New York).

The current practice location address for Shane Daniel Benson is 215 Drum Rd, Staten Island, NY and can be reached out via phone at 718-354-4414.

Location: 215 Drum Rd, Staten Island, NY, 10305-5001

NPI Number

1417134016

Provider Name

Shane Daniel Benson

Credential

Provider Entity Type

Individual

Gender

Male

Address

215 Drum Rd, Staten Island, NY, 10305-5001

Phone Number

718-354-4414

Fax Number

Provider Enumeration Date

01/25/2008

Last Update Date

03/09/2024

Address

215 Drum Rd

City

Staten Island

State

New York

Zip

10305-5001

Phone Number

718-354-4414

Fax Number

Address

215 Drum Rd

City

Staten Island

State

New York

Zip

10305-5001

Phone Number

718-354-4414

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

()

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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