Individual
BENJAMIN KURTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16219 HILLSIDE AVE, JAMAICA, NY 11432-4034
(718) 239-3451
Mailing address
13737 70TH RD FL 2, FLUSHING, NY 11367-1929
(516) 318-1606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
069321
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099328
PHARMACY INTERN
NY
Enumeration date
09/25/2020
Last updated
08/24/2022
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