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Individual

BENJAMIN TELEMAQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
1630 E 15TH ST, BROOKLYN, NY 11229-1147
(718) 787-3214
Mailing address
210 CLINTON AVE APT 11F, BROOKLYN, NY 11205-3433
(718) 974-9068

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
860322424
NY

Other

Enumeration date
10/02/2009
Last updated
10/02/2009
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