BENSON LARRI GEROY TAN

ELMHURST, NY
NPI1700567344
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NY  011378)
Enumeration Date2023-07-27
Last Update Date2023-07-27
Business Address
BENSON LARRI GEROY TAN
8439 56TH AVE APT 2
ELMHURST, NY 11373-4969
Phone number: 347-834-1384
Mailing Address
BENSON LARRI GEROY TAN
8439 56TH AVE APT 2
ELMHURST, NY 11373-4969
Phone number: 347-834-1384