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Individual

BENJAMIN SAMUEL MEREL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2876 W 27TH ST, BROOKLYN, NY 11224-2812
(718) 265-2222
(718) 333-1023
Mailing address
2876 W 27TH ST, BROOKLYN, NY 11224-2812
(718) 265-2222
(718) 333-1023

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
038812
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
038812
LICENSE
NY
Enumeration date
06/30/2015
Last updated
06/30/2015
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