Individual
MR. CHRISTOPHER LAVERNE BENSON, LLC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.MT.
Contact information
Practice address
310 MERRICK AVE, MERRICK, NY 11566-2718
(631) 266-6666
(888) 266-4849
Mailing address
19 RENDE PARK, FAIRPORT, NY 14450-4515
(585) 755-7246
(888) 266-4849
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017265
NY
Other
Enumeration date
08/17/2007
Last updated
01/03/2011
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