Provider Demographics
NPI:1639473812
Name:FARKAS, BENJAMIN A (DC)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:A
Last Name:FARKAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 S. 60TH ST. WEST PHILADELPHIA ASSOCIATES
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19139-3874
Mailing Address - Country:US
Mailing Address - Phone:215-471-4714
Mailing Address - Fax:215-471-1133
Practice Address - Street 1:37 S. 60TH ST. WEST PHILADELPHIA ASSOCIATES
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19139-3874
Practice Address - Country:US
Practice Address - Phone:215-471-4714
Practice Address - Fax:215-471-1133
Is Sole Proprietor?:No
Enumeration Date:2011-01-03
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010021111N00000X
NJ38MC00445500111N00000X
NYX0073741111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU48367Medicare UPIN