Individual
DR. BENJAMIN VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
13036 NYS RTE 9N, JAY, NY 12941
(518) 946-7886
(518) 946-7367
Mailing address
1042 BARTLETT RD, UPPER JAY, NY 12987-3402
(518) 946-2620
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010729
NY
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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