Individual
BENJAMIN MICHAEL KHLEVNOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2255 N TRIPHAMMER RD, ITHACA, NY 14850-1576
(607) 330-5692
(607) 257-0449
Mailing address
2255 N TRIPHAMMER RD, ITHACA, NY 14850-1576
(607) 330-5692
(607) 257-0449
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
064335
NY
Other
Enumeration date
02/20/2019
Last updated
12/10/2024
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