IndividualActive
Shane Benson
NPI 1417134016 · Military Health Care Provider · Staten Island, NY
Provider details
- NPI number
- 1417134016
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
215 Drum Rd
Staten Island, NY 10305-5001
Phone: (718) 354-4414
Approximate (ZIP-level) locationGet directions
Mailing address
215 Drum Rd
Staten Island, NY 10305-5001
Registry dates
- Enumerated
- 2008-01-25
- Last updated
- 2008-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.