Individual
BENJAMIN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 E 23RD ST STE 402, NEW YORK, NY 10010-4547
(917) 476-0539
Mailing address
125 E 23RD ST STE 402, NEW YORK, NY 10010-4547
(917) 476-0539
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001567-1
NY
Other
Enumeration date
10/24/2013
Last updated
03/02/2022
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