Benjamin Tack is a student in an organized health care education training program in Mineola, NY with 6 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Benjamin Tack NPI is 1215426812. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:2018
The provider's business location address is:
222 STATION PLZ N STE 509
MINEOLA, NY
ZIP 11501-893
Phone: (516) 663-2381
The NPI 1215426812 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/9/2018 and was last updated on 5/9/2018.