Individual
MR. BENJAMIN CALMA MANALAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSPT
Contact information
Practice address
6918 59TH RD, MASPETH, NY 11378-2920
(646) 623-9511
Mailing address
6918 59TH RD, MASPETH, NY 11378-2920
(646) 623-9511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
031334
NY
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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