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NPI Code Detail

MEDICARE: TAISHA LASHON BENJAMIN M.D.

MEDICARE: TAISHA LASHON BENJAMIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician243208NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124297122
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAISHA LASHON BENJAMIN M.D.
Provider Business Mailing Address
First Line : 44 W 28TH ST FL 5
Second Line :
City : NEW YORK
State : NY
Zip : 10001-4212
Country : US
Telephone Number : 212-545-2400
Fax Number : 646-312-0481
Provider Business Practice Location Address
First Line : 1167 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-5417
Country : US
Telephone Number : 718-778-0198
Fax Number : 718-221-8169
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2008
Last Update Date : 01/30/2026

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