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Organization

BENJ CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NEIL FRUCHTMAN (OWNER)
(631) 427-6823
Entity
Organization

Contact information

Practice address
2 COOPER AVE, HUNTINGTON STATION, NY 11746-3506
(631) 427-6823
Mailing address
PO BOX 20486, HUNTINGTON STATION, NY 11746-0858
(631) 427-6823

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
171W00000X
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02245132
NY
Enumeration date
04/13/2007
Last updated
08/22/2020
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