Healthcare Provider Details
I. General information
NPI: 1780932228
Provider Name (Legal Business Name): BENJAMIN H. READ
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/15/2012
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
884 E RIDGE RD
ROCHESTER NY
14621-1718
US
IV. Provider business mailing address
16 MAIN ST
HILTON NY
14468-1211
US
V. Phone/Fax
- Phone: 585-544-4077
- Fax: 585-544-4070
- Phone: 585-391-0394
- Fax: 585-392-8126
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 041493 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: