Provider Demographics
NPI:1750579207
Name:GOLD, BENJAMIN AARON (PT)
Entity type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:AARON
Last Name:GOLD
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:18 EAST 48TH STREET
Mailing Address - Street 2:SUITE 802
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023
Mailing Address - Country:US
Mailing Address - Phone:212-750-1110
Mailing Address - Fax:212-245-5540
Practice Address - Street 1:18 EAST 48TH STREET
Practice Address - Street 2:SUITE 802
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:212-750-1110
Practice Address - Fax:212-245-5540
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-10
Last Update Date:2011-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY029606174400000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist