Individual provider · Type 1 NPI

Kelsie Lizbeth Pereyra Bencosme, MD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1396215489 Active · reactivated May 25, 2023

Practice location

111 East 210th Street
Bronx, NY 10467

Call (718) 920-4321 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1396215489

Kelsie Lizbeth Pereyra Bencosme, MD's National Provider Identifier is 1396215489, issued on Nov 30, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on May 25, 2023.