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NPI Code Detail

MEDICARE: CAROLYN ELIZABETH BENSON M.D.

MEDICARE: CAROLYN ELIZABETH BENSON 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
12084P0800XPsychiatry Physician251818NY

General Provider Information

NPI Number : 1851490544
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN ELIZABETH BENSON M.D.
Provider Business Mailing Address
First Line : 109 W 27TH ST RM 5S
Second Line :
City : NEW YORK
State : NY
Zip : 10001-6208
Country : US
Telephone Number : 833-351-8255
Fax Number : 888-815-3583
Provider Business Practice Location Address
First Line : 1183 MONROE AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-1662
Country : US
Telephone Number : 585-256-7811
Fax Number : 585-256-7793
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 04/24/2025

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