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1912080938
TERESA BENACQUISTA
BRONX, NY
NPI
1912080938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: NY 174305)
Enumeration Date
2006-10-23
Last Update Date
2007-07-08
Business Address
TERESA BENACQUISTA MD
MMC - DEPT. OF PLASTIC SURGERY 1625 POPLAR STREET, STE. 200
BRONX, NY 10461
Phone number: 718-405-8333
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Mailing Address
TERESA BENACQUISTA MD
79 SOUTH DR
MANHASSET, NY 11030-3146
Phone number: 718-405-8333
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