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NPI Code Detail

MEDICARE: BRIANA BENOIT

MEDICARE: BRIANA BENOIT
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
1390200000XStudent in an Organized Health Care Education/Training ProgramNY

General Provider Information

NPI Number : 1558204743
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANA BENOIT
Provider Business Mailing Address
First Line : 3959 BROADWAY
Second Line :
City : NEW YORK
State : NY
Zip : 10032-1559
Country : US
Telephone Number : 212-305-8504
Fax Number :
Provider Business Practice Location Address
First Line : 3959 BROADWAY
Second Line :
City : NEW YORK
State : NY
Zip : 10032-1559
Country : US
Telephone Number : 212-305-8504
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ BRIANA BENOIT ” Practice Location

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