Most Relevant Information
Provider Data
| NPI Number: | 1003314956 |
| Provider Name: | MARIELLA BENAVIDES |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 341959 |
Most Important Dates
| Enumeration Date: | 01/25/2018 |
| Last Updated: | 08/09/2022 |
Provider Practice Location
550 1ST AVE
NEW YORK
NY
100166402
Practice Location Phone/Fax
| Phone: | 6465017070 |
| Fax: |
Provider Mailing Location
559 SAINT JOHNS PL APT 3R
BROOKLYN
NY
112385558
Provider Mailing Phone/Fax
| Phone: | 2395374128 |
| Fax: |