Individual
BENJAMIN SHOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1229 48TH ST, BROOKLYN, NY 11219-3080
(718) 851-7755
Mailing address
1229 48TH ST, BROOKLYN, NY 11219-3080
(718) 851-7755
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
005757
NY
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
08/05/2021
Last updated
05/17/2026
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