National Provider Identifier

Benjamin Bermudez

Benjamin Bermudez is listed in the NPPES registry with a primary specialty of Physical Therapist in East Amherst, NY and a listed phone number of (716) 688-5709.

NPI 1639676091East Amherst, NYPhysical Therapist

Profile Overview

NPI
1639676091
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
April 11, 2018
Last Updated
April 11, 2018

Practice Location

  • 6363 Transit RD
  • East Amherst, NY 14051-2716

Phone: (716) 688-5709

Mailing Address

  • 20 Peachtree Ct Ste 105
  • Holbrook, NY 11741-4616

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1639676091
Entity Type
Individual
Last Name
Bermudez
First Name
Benjamin
Mailing Street Address
20 Peachtree Ct Ste 105
Mailing City
Holbrook
Mailing State
NY
Mailing ZIP Code
11741-4616
Mailing Country
US
Mailing Phone
(631) 467-3700
Mailing Fax
(631) 467-0928
Practice Street Address
6363 Transit RD
Practice City
East Amherst
Practice State
NY
Practice ZIP Code
14051-2716
Practice Country
US
Practice Phone
(716) 688-5709
Practice Fax
(716) 688-5770
Enumeration Date
April 11, 2018
Last Updated
April 11, 2018
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)