Individual
BENJAMIN HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8906 135TH ST, JAMAICA, NY 11418-2828
(458) 899-7484
Mailing address
282 COOPER ST APT 1R, BROOKLYN, NY 11237-6428
(541) 206-8093
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
316209-01
NY
Other
Enumeration date
05/08/2015
Last updated
01/29/2024
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