Provider Demographics
NPI:1063791168
Name:ASKARINAM, BENYAMIN
Entity type:Individual
Prefix:
First Name:BENYAMIN
Middle Name:
Last Name:ASKARINAM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14740 73RD AVE
Mailing Address - Street 2:APT # 1E
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-2951
Mailing Address - Country:US
Mailing Address - Phone:646-469-2070
Mailing Address - Fax:
Practice Address - Street 1:14740 73RD AVE
Practice Address - Street 2:APT # 1E
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-2951
Practice Address - Country:US
Practice Address - Phone:646-469-2070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-08
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0336021225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist