Individual
ADELINE BARBARA BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
86 VARICK ST, OSWEGO, NY 13126-3954
(315) 532-2019
Mailing address
501 E 38TH ST, ERIE, PA 16546-0002
(315) 532-2019
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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