Individual
DR. PETER BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9819 64TH AVE APT 3B, REGO PARK, NY 11374-2525
(908) 462-4766
Mailing address
9819 64TH AVE APT 3B, REGO PARK, NY 11374-2525
(908) 462-4766
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
042636
NY
2251X0800X
Orthopedic Physical Therapist
Primary
042636
NY
Other
Enumeration date
11/19/2017
Last updated
02/05/2025
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