Most Relevant Information
Provider Data
| NPI Number: | 1003396326 |
| Provider Name: | STELLA BENEZRA |
| Entity Type: | Individual |
| Taxonomy Code: | 261QH0700X |
| Specialty: | Clinic/Center |
| License Number: | 2784178 |
Most Important Dates
| Enumeration Date: | 08/16/2018 |
| Last Updated: | 08/16/2018 |
Provider Practice Location
67 THOMPSON ST APT 3A
NEW YORK
NY
100124323
Practice Location Phone/Fax
| Phone: | 9172500642 |
| Fax: |
Provider Mailing Location
67 THOMPSON ST APT 3A
NEW YORK
NY
100124323
Provider Mailing Phone/Fax
| Phone: | 9172500642 |
| Fax: |