Individual
MR. BENJAMIN DAVID HERBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
46 SOMERTON AVE, KENMORE, NY 14217-1624
(716) 913-4753
Mailing address
46 SOMERTON AVE, KENMORE, NY 14217-1624
(716) 913-4753
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310171-1
NY
Other
Enumeration date
07/14/2012
Last updated
07/14/2012
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