MR. Shane Daniel Benson
NPI #1417134016 in Staten Island, New York
Provider Information
- NPI Number
- 1417134016
- Entity Type
- Individual
- Name
- MR. Shane Daniel Benson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider
- Enumeration Date
- Jan 25, 2008
- Last Updated
- Jan 25, 2008
Practice Location
- Address
- 215 DRUM RD
- City
- Staten Island
- State
- New York
- ZIP Code
- 10305-5001
- Phone
- (718) 354-4414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider |
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