Individual provider · Type 1 NPI

Shane Daniel Benson

Military Health Care Provider · Staten Island, NY

NPI number 1417134016 Active

Practice location

215 Drum Rd
Staten Island, NY 10305-5001

Call (718) 354-4414 Map

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: 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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About NPI 1417134016

Shane Daniel Benson's National Provider Identifier is 1417134016, issued on Jan 25, 2008. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Staten Island, NY. The record was last updated on Jan 25, 2008.