Individual
BENJAMIN FATEH MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41-41 51ST STREET, WOODSIDE, NY 11377
(718) 505-0100
Mailing address
41-41 51ST STREET, WOODSIDE, NY 11377
(718) 505-0100
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
224032
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02802091
—
NY
Enumeration date
05/08/2006
Last updated
09/07/2010
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