Individual
DR. BENJAMIN MIZRACHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FACS
Contact information
Practice address
300 EAST 85TH STREET (1803), NEW YORK, NY 10028
(212) 734-1074
Mailing address
300 EAST 85TH STREET, (1803), NEW YORK, NY 10028
(212) 734-1074
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
109646-1
NY
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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