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Individual

MR. BENJAMIN LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
2359 N TRIPHAMMER RD, ITHACA, NY 14850-1059
(607) 257-5009
(607) 257-9985
Mailing address
2359 N TRIPHAMMER RD, ITHACA, NY 14850-1059
(607) 257-5009
(607) 257-9985

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
046153
NY

Other

Enumeration date
10/02/2020
Last updated
10/02/2020
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