Individual
DR. DANIEL BIENSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DMD, FACS
Contact information
Practice address
150 IRVING PL STE 2, WOODMERE, NY 11598-1245
(516) 569-6311
(516) 569-6312
Mailing address
150 IRVING PL STE 2, WOODMERE, NY 11598-1245
(516) 569-6311
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
059116
NY
208600000X
Surgery Physician
Primary
289284
NY
Other
Enumeration date
05/02/2011
Last updated
02/28/2024
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