Individual
BRAYAN D VENTURA BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
560 BIELING RD, ELMONT, NY 11003-2809
(516) 653-1034
Mailing address
560 BIELING RD, ELMONT, NY 11003-2809
(516) 653-1034
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012933-01
NY
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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