Benjamin O'brien

NPI #1023868619 in Port Jefferson, New York

Provider Information

NPI Number: 1023868619
Entity Type: Individual
Name: Benjamin O'brien
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 25, 2024
Last Updated: Mar 25, 2024

Practice Location

Address: 75 N COUNTRY RD
City: Port Jefferson
State: New York
ZIP Code: 11777-2119
Phone: (631) 473-1320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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