Provider Demographics
NPI:1730851643
Name:BARNET, BENJAMIN RAYMOND DOUGLAS (LAC, EAMP)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:RAYMOND DOUGLAS
Last Name:BARNET
Suffix:
Gender:M
Credentials:LAC, EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 UPPER HILL RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLESEX
Mailing Address - State:NY
Mailing Address - Zip Code:14507-9713
Mailing Address - Country:US
Mailing Address - Phone:585-704-4729
Mailing Address - Fax:
Practice Address - Street 1:288 MONROE AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-3622
Practice Address - Country:US
Practice Address - Phone:585-704-4729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist