Taina Marcelle Benjamin, LPN
Individual provider Active NPI Licensed Practical Nurse · Pomona, NY
NPI 1962829358 · NPPES record last updated Mar 24, 2014
Key facts
- NPI
- 1962829358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 311407-1 (NY)
- Practice address
- 5 Phyllis Dr
Pomona, NY 10970-2629 - Phone
- (845) 548-6731
- Fax
- (845) 354-8535
- NPI assigned
- Mar 24, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 311407-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 311407-1 | NY | Yes |
Addresses
Primary practice location
5 Phyllis Dr
Pomona, NY 10970-2629
Mailing address
5 Phyllis Dr
Pomona, NY 10970-2629
Phone (845) 548-6731
Other providers in Pomona, NY
- Hendel Baum
- Rochelle Becher
- Behavioral Solutions
- Suresh Bekal
- Devora Beller
- Yvonne Bennett
- Elizabeth Benoy
- Sheryl Berizin
- Joseph Berkovic
- Dovid Berkowitz
All providers in Pomona, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.