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NPI Code Detail

MEDICARE: SHENEIKA BENJAMIN LPN

MEDICARE: SHENEIKA BENJAMIN LPN
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
1164W00000XLicensed Practical Nurse318133NY

General Provider Information

NPI Number : 1891112785
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHENEIKA BENJAMIN LPN
Provider Business Mailing Address
First Line : PO BOX 19553
Second Line :
City : ROCHESTER
State : NY
Zip : 14619-0553
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 HAHNEMANN TRL
Second Line :
City : PITTSFORD
State : NY
Zip : 14534-2356
Country : US
Telephone Number : 585-383-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2014
Last Update Date : 02/16/2017

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Directions to “ SHENEIKA BENJAMIN LPN” Practice Location

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