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Contact Information

LISA M BENEDETTO, CNM
132 INDIAN CREEK RD
ITHACA, NY14850-1331
 Phone: 607-379-9606
 Fax: 607-821-4374
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LISA M BENEDETTO · (Female)

NPI Number 1386968899
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 03/26/2010
Last updated 05/16/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 13010
  • CO License # 171868
  • NY License # F00149-1
  • CO Medicaid 26371243
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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