Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 274037 | NY |
NPI | 1750641999 |
---|---|
Provider Name | Dr. Doreen Benary |
First Address | New Hyde Park, NY 11040-1433 |
Second Address | New Hyde Park, NY 11040 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2012 |
Last Update Date | 23/02/2021 |