Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 232342-1 | NY |
NPI | 1013178920 |
---|---|
Provider Name | Dr. Christy Anne Beneri |
First Address | Stony Brook, NY 11790-0989 |
Second Address | Stony Brook, NY 11794-8111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2008 |
Last Update Date | 08/05/2015 |