National Provider Identifier
Benjamin Q Antonucci, P.T.
Benjamin Q Antonucci, P.T. is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 697-0207.
Profile Overview
- NPI
- 1275919268
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- August 03, 2015
- Last Updated
- August 03, 2015
Practice Location
- 1100 Long Pond RD
- 104
- Rochester, NY 14626-1177
Phone: (585) 697-0207
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1275919268
- Entity Type
- Individual
- Last Name
- Antonucci
- First Name
- Benjamin
- Middle Name
- Q
- Credential
- P.T.
- Mailing Street Address
- 1100 Long Pond RD
- Mailing Address Line 2
- 104
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-1177
- Mailing Country
- US
- Mailing Phone
- (585) 697-0207
- Mailing Fax
- (585) 697-0209
- Practice Street Address
- 1100 Long Pond RD
- Practice Address Line 2
- 104
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-1177
- Practice Country
- US
- Practice Phone
- (585) 697-0207
- Practice Fax
- (585) 697-0209
- Enumeration Date
- August 03, 2015
- Last Updated
- August 03, 2015
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)