Individual
RICHARD W BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
248 W 116 ST, NEW YORK, NY 10026-2450
(212) 666-3620
(212) 666-3985
Mailing address
248 W 116 ST, NEW YORK, NY 10026-2450
(212) 666-3620
(212) 666-3985
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
004372
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00997613
—
NY
Enumeration date
10/17/2007
Last updated
01/05/2010
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