Individual
BENET BUSKETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
60 E JERICHO TPKE, MINEOLA, NY 11501-3141
(516) 746-6350
Mailing address
253 WELLINGTON RD S, GARDEN CITY SOUTH, NY 11530-5520
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
042606
NY
Other
Enumeration date
11/16/2017
Last updated
03/17/2018
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