Individual
MISS GISHMAH BENYAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1650 E 4TH ST, BROOKLYN, NY 11230-6905
(718) 419-8455
Mailing address
1650 E 4TH ST, BROOKLYN, NY 11230-6905
(718) 419-8455
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022251
NY
Other
Enumeration date
03/04/2018
Last updated
03/04/2018
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