Benjamin, Richard W

Benjamin, Richard W is an individual health care provider with primary practice located at 248 W 116 St , New York NY 10026-2450. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Benjamin, Richard W can be contacted via phone (212) 666-3620.

Contact Information

Primary practice address
248 W 116 St New York NY 10026-2450
Fax: (212) 666-3985
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 004372 New York

Profile Details

NPI number 1750570594
LBN Legal business name Benjamin, Richard W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2007
Last updated Jan 5th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750570594 NPPES
New York MEDICAID 00997613

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