Healthcare Provider Details

I. General information

NPI: 1245804186
Provider Name (Legal Business Name): LYNN NKECHINYERE BENSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2021
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 PORTLAND AVE STE 400
ROCHESTER NY
14621-3022
US

IV. Provider business mailing address

100 KINGS HWY S
ROCHESTER NY
14617-5504
US

V. Phone/Fax

Practice location:
  • Phone: 585-922-4200
  • Fax: 585-922-4922
Mailing address:
  • Phone: 585-922-1970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number347246
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: