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Individual

BENJAMIN A YOUDELMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-7686
(718) 635-7421
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-7686
(718) 635-7421

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD424503
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
233641
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MA78662
NJ

Other

Enumeration date
07/05/2007
Last updated
03/08/2018
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