Healthcare Provider Details
I. General information
NPI: 1316437460
Provider Name (Legal Business Name): STEVEN BENSO CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/15/2018
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 1ST AVE
PITTSBURGH PA
15219-3128
US
IV. Provider business mailing address
806 GRAYWYCK DR
SEVEN FIELDS PA
16046-4278
US
V. Phone/Fax
- Phone: 412-807-7878
- Fax: 412-807-7911
- Phone: 561-670-9674
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | SP018864 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: