Individual
BENJAMIN SAMUEL WEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN, RD, CDN
Contact information
Practice address
2930 BAYSWATER AVE FL 2, FAR ROCKAWAY, NY 11691-1730
(718) 249-6027
Mailing address
2930 BAYSWATER AVE FL 2, FAR ROCKAWAY, NY 11691-1730
(718) 249-6027
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008805-1
NY
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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