Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1700X | Ocularist |
NPI | 1033326558 |
---|---|
Provider Name | Mr. Emery Benedek |
First Address | Philadelphia, PA 19102-2944 |
Second Address | New York, NY 10021-4870 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2007 |
Last Update Date | 12/11/2007 |