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NPI 1952140998 · live from the CMS NPI Registry

Benjamin John Antar

Massage Therapist in New York, NY. National Provider Identifier 1952140998, active.

NPI record

NPI1952140998 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location1227 Broadway # Sc2, New York, NY 10001
Practice phone646-973-1966
Mailing address111 Wadsworth Ave Apt 10a, New York, NY 10033
EnumeratedMay 20, 2024
Last updatedMay 20, 2024
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000X031958-01 (NY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.