Individual
BENJAMIN JOSEPH RISPOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
9420 GUY R BREWER BLVD, JAMAICA, NY 11451-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
023715
NY
363A00000X
Physician Assistant
Primary
023715
NY
Other
Enumeration date
08/01/2019
Last updated
02/24/2025
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