Provider Demographics
NPI:1346527637
Name:KILLIAN-BENIGNO, FELICE (RN)
Entity Type:Individual
Prefix:
First Name:FELICE
Middle Name:
Last Name:KILLIAN-BENIGNO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 OSWEGO ST
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13204-2829
Mailing Address - Country:US
Mailing Address - Phone:315-435-6525
Mailing Address - Fax:315-435-6525
Practice Address - Street 1:312 OSWEGO ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13204-2829
Practice Address - Country:US
Practice Address - Phone:315-435-6525
Practice Address - Fax:315-435-6525
Is Sole Proprietor?:No
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY273425-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse