Provider Demographics
NPI:1821355124
Name:BENOY, MARY C (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:C
Last Name:BENOY
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Gender:F
Credentials:MD
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Mailing Address - Street 1:396 BROADWAY
Mailing Address - Street 2:MID HUDSON PHYSICIANS, PC
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-4626
Mailing Address - Country:US
Mailing Address - Phone:845-331-3131
Mailing Address - Fax:845-334-2898
Practice Address - Street 1:396 BROADWAY
Practice Address - Street 2:MID HUDSON PHYSICIANS, PC
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-4626
Practice Address - Country:US
Practice Address - Phone:845-331-3131
Practice Address - Fax:845-334-2898
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2024-04-10
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Provider Licenses
StateLicense IDTaxonomies
NY60-280854207Q00000X
NY280854208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
A400127263Medicare PIN