SHANE D. BENSON – NPI #1417134016
Military Health Care Provider

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

SHANE BENSON is a military health care provider located in STATEN ISLAND, NY. NPPES has assigned the NPI number 1417134016 to SHANE BENSON on January 25, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 171000000X from the Health Care Provider Taxonomy code set, which is classified as Military Health Care Provider.

See the complete NPI profile for SHANE BENSON below.

NPI Profile for
SHANE D. BENSON

NPI Number
1417134016
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SHANE D. BENSON
Primary location
215 DRUM RD
STATEN ISLAND, NY 10305-5001
Phone: (718) 354-4414 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
171000000X
- Military Health Care Provider (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.