Individual
MR. BENJAMIN ZUNIGA FABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
25412 84TH RD, FLORAL PARK, NY 11001-1051
(917) 582-8160
Mailing address
25412 84TH RD, FLORAL PARK, NY 11001-1051
(917) 582-8160
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023496
NY
225100000X
Physical Therapist
2305205661
VA
225100000X
Physical Therapist
40QA01070100
NJ
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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