NPI 1417134016
Shane Daniel Benson
Practice location
- Address
- 215 Drum Rd, Staten Island, NY 10305-5001
- Phone
- (718) 354-4414
Registered specialties
Military Health Care Provider
Primary
Registry record
- NPI
- 1417134016
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Jan 2008
- Record last updated
- 25 Jan 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.