Provider Demographics
NPI:1053673541
Name:BENJAMIN TOSKY, D.C., P.A.
Entity Type:Organization
Organization Name:BENJAMIN TOSKY, D.C., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-606-2538
Mailing Address - Street 1:312 W MILLBROOK RD
Mailing Address - Street 2:#105
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4389
Mailing Address - Country:US
Mailing Address - Phone:919-606-2538
Mailing Address - Fax:
Practice Address - Street 1:312 W MILLBROOK RD
Practice Address - Street 2:#105
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4389
Practice Address - Country:US
Practice Address - Phone:919-606-2538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4214111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty