Provider Demographics
NPI:1093016628
Name:BENSON, CHRISTINE BELLE (CD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:BELLE
Last Name:BENSON
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8400 CLARK MILLS RD
Mailing Address - Street 2:
Mailing Address - City:WHITESBORO
Mailing Address - State:NY
Mailing Address - Zip Code:13492-3005
Mailing Address - Country:US
Mailing Address - Phone:315-790-0093
Mailing Address - Fax:
Practice Address - Street 1:8400 CLARK MILLS RD
Practice Address - Street 2:
Practice Address - City:WHITESBORO
Practice Address - State:NY
Practice Address - Zip Code:13492-3005
Practice Address - Country:US
Practice Address - Phone:315-790-0093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-12
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula