Individual ProviderBenjamin Erik JohnsonMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7293 Buckley Rd Ste 102, Syracuse, NY 13212-2666(315) 937-5954(315) 569-6735PECOS EnrollmentBased on the most recent information from CMS, provider Benjamin Erik Johnson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1548077167Provider TypeIndividualFull NameJohnson, Benjamin ErikGenderMaleSole ProprietorNoEnumeration Date12/17/2024Last Updated12/17/2024Contact InformationPractice LocationPractice Address7293 Buckley Rd Ste 102, Syracuse, NY 13212-2666Phone(315) 937-5954FaxUnlisted FaxMailing LocationMailing Address4291 Persimmon Path, Liverpool, NY 13090-1933Phone(315) 569-6735FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense022386-01New York