Individual
DR. ROBERT JAMES BENCIVENGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
27 CEDAR SWAMP RD, GLEN COVE, NY 11542-3728
(516) 277-1586
(516) 277-1587
Mailing address
82 CONNECTICUT AVE, MASSAPEQUA, NY 11758-4501
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
012125
NY
Other
Enumeration date
02/03/2011
Last updated
01/14/2014
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