Individual
MR. ERIC BENINGHOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
177 FORT WASHINGTON AVE, MHB 7GN-435, NEW YORK, NY 10032-3733
(212) 342-1311
Mailing address
34 HILLSIDE AVE, VERONA, NJ 07044-1410
(646) 784-4515
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005945
NY
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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