Penn, Benjamin

Penn, Benjamin is an individual health care provider with primary practice located at 170 Old Country Rd , Riverhead NY 11901-2198. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Penn, Benjamin can be contacted via phone (631) 208-4460.

Contact Information

Primary practice address
170 Old Country Rd Riverhead NY 11901-2198
Phone: (631) 208-4460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 026947 New York

Profile Details

NPI number 1417527649
LBN Legal business name Penn, Benjamin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2021
Last updated Feb 6th, 2023 - about 2 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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