Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | MD423402 | PA |
N | 207ND0101X | MOHS-Micrographic Surgeon | MD423402 | PA |
N | 207ND0900X | Dermatopathologist | MD423402 | PA |
N | 207NS0135X | Procedural Dermatology | MD423402 | PA |
NPI | 1164405353 |
---|---|
Provider Name | Dr. Natalie Ivana Bene |
First Address | York, PA 17403-5161 |
Second Address | York, PA 17403-5161 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 11/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I01737 | (02) | MD |