Individual
BRAD BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
918 ULSTER AVE, KINGSTON, NY 12401-1344
(845) 802-7080
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
033530
NY
Other
Enumeration date
04/18/2011
Last updated
02/04/2021
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