Individual
JAVIER ALONSO BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
973 FULTON ST, BROOKLYN, NY 11238-2346
(718) 622-0224
Mailing address
4722 41ST ST APT 2R, SUNNYSIDE, NY 11104-3606
(917) 717-1578
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
NY
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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