MR. SHANE DANIEL BENSON NPI 1417134016

NPI Information

NPI: 1417134016
Provider Name: MR. SHANE DANIEL BENSON
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual
Address:
215 DRUM RD
STATEN ISLAND, NY
ZIP 10305
Phone: (718) 354-4414
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MR. Shane Daniel Benson is a military health care provider in Staten Island, NY. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. MR. Shane Daniel Benson NPI is 1417134016. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

215 DRUM RD
STATEN ISLAND, NY
ZIP 10305-001
Phone: (718) 354-4414

The enumeration date for this NPI number is 1/25/2008 and was last updated on 1/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171000000X	Military Health Care Provider				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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