Provider Demographics
NPI:1275993669
Name:SUSSMAN, BINYAMIN (DC)
Entity Type:Individual
Prefix:DR
First Name:BINYAMIN
Middle Name:
Last Name:SUSSMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:BINYAMIN
Other - Middle Name:
Other - Last Name:RUBINSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:6245 N FEDERAL HWY STE 405
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-1998
Mailing Address - Country:US
Mailing Address - Phone:866-305-6468
Mailing Address - Fax:866-805-6466
Practice Address - Street 1:6245 N FEDERAL HWY STE 405
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-1998
Practice Address - Country:US
Practice Address - Phone:866-305-6468
Practice Address - Fax:866-805-6466
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-29
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11589111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor