Individual
RALPH BENEDICT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-3000
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-3000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
011422
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01353593
—
NY
Enumeration date
04/20/2006
Last updated
07/08/2007
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