| Kenneth Benfante, | |
|
2156 Victory Blvd, Staten Island, NY 10314-6626 | |
| (201) 638-2679 | |
| Not Available |
| Full Name | Kenneth Benfante |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 2156 Victory Blvd, Staten Island, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396496287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X013482-01 (New York) | Primary |
| Provider Name | New York Spinal Correction Chiropractic Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790439628 PECOS PAC ID: 9436537354 Enrollment ID: O20220606002582 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Benfante, 2156 Victory Blvd, Staten Island, NY 10314-6626 Ph: (201) 638-2679 | Kenneth Benfante, 2156 Victory Blvd, Staten Island, NY 10314-6626 Ph: (201) 638-2679 |
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