Individual
BENJAMIN WILLIAM IRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 LIVINGSTON ST, SUITE 1101, BROOKLYN, NY 11201-1260
(718) 625-4055
Mailing address
450 6TH ST, BROOKLYN, NY 11215-3607
(347) 260-5430
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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