Shane Daniel Benson in Staten Island - Military Health Care Provider
Shane Daniel Benson - NPI 1417134016
Shane Daniel Benson is a Military Health Care Provider in Staten Island, New York. Shane Daniel Benson practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for Shane Daniel Benson is 1417134016. The last update date is 2008-01-25.
Shane Daniel Benson's current location address is 215 Drum Rd, Staten Island, New York. You can contact this provider via phone number 7183544414. The mailing address for Shane Daniel Benson is 215 Drum Rd, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane Daniel Benson |
|---|---|
| Address | 215 Drum Rd, Staten Island, New York |
| Phone Number | 7183544414 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1417134016 |
|---|---|
| Provider Enumeration Date | 2008-01-25 |
| Last Updated Date | 2008-01-25 |
Provider Mailing Address Detail
| Address | 215 Drum Rd |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103055001 |
| Phone Number | 7183544414 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Military Health Care Provider |
|---|---|
| Taxonomy | 171000000X |
|
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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Post Comment/ Review Below
What is the unique provider identifier assigned to Shane Daniel Benson?
The Shane Daniel Benson has been issued the NPI (National Provider Identifier) 1417134016 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Shane Daniel Benson?
The Shane Daniel Benson is physically situated at 215 Drum Rd, in the city of Staten Island, state of NY, with the postal code 103055001.
What is the Shane Daniel Benson's specialty and taxonomy code?
The Shane Daniel Benson's specialty is Military Health Care Provider, and the corresponding taxonomy code is 171000000X.
On what date did the Shane Daniel Benson receive its 1417134016 assignment from the Centers for Medicare & Medicaid Services?
The Shane Daniel Benson was assigned its 1417134016 by the Centers for Medicare & Medicaid Services on 2008-01-25.
As of what date were the details related to Shane Daniel Benson most recently updated or revised?
The information pertaining to Shane Daniel Benson, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-25.
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