Individual
BENITO ANTONIO FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
778 MORRIS PARK AVE, BRONX, NY 10462-3652
(800) 678-8605
Mailing address
778 MORRIS PARK AVE # 38, BRONX, NY 10462-3652
(800) 678-8605
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011795-1
NY
225XG0600X
Gerontology Occupational Therapist
011795-1
NY
225XP0019X
Physical Rehabilitation Occupational Therapist
011795-1
NY
225XP0200X
Pediatric Occupational Therapist
011795-1
NY
Other
Enumeration date
04/22/2016
Last updated
04/03/2021
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