Provider Demographics
NPI:1336233451
Name:GILBERT, BENJAMIN S (PT , MBA, OCS)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:S
Last Name:GILBERT
Suffix:
Gender:M
Credentials:PT , MBA, OCS
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Mailing Address - Street 1:10 RYE RIDGE PLAZA
Mailing Address - Street 2:SUITE 219 PHYSICAL THERAPY GROUP OF WESTCHESTER PC
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573
Mailing Address - Country:US
Mailing Address - Phone:914-253-6457
Mailing Address - Fax:914-253-6458
Practice Address - Street 1:785 MAMARONECK AVE RM 101
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-2523
Practice Address - Country:US
Practice Address - Phone:914-597-2527
Practice Address - Fax:914-798-4449
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2019-12-06
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Provider Licenses
StateLicense IDTaxonomies
NY0148041225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ23F61Medicare PIN