Individual
BENJAMIN JOHN ANTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1227 BROADWAY # SC2, NEW YORK, NY 10001-4302
(646) 973-1966
Mailing address
111 WADSWORTH AVE APT 10A, NEW YORK, NY 10033-6108
(917) 251-4850
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031958-01
NY
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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