Individual
KADIZHA BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHIROPRACTOR
Contact information
Practice address
1955 MERRICK RD STE 203, MERRICK, NY 11566-4635
(516) 987-4336
Mailing address
35 CHAUNCEY LN, CORAM, NY 11727-3504
(860) 617-8106
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X01386301
NY
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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