Individual
KENNETH BENFANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2156 VICTORY BLVD, STATEN ISLAND, NY 10314-6626
(201) 638-2679
Mailing address
2156 VICTORY BLVD, STATEN ISLAND, NY 10314-6626
(201) 638-2679
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X013482-01
NY
Other
Enumeration date
01/12/2022
Last updated
03/04/2024
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