Individual
BENJAMIN C. H. PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
168 CANAL ST, SUITE 510, NEW YORK, NY 10013-4503
(212) 226-2200
(212) 226-0134
Mailing address
95 OLD LAKE ST, WEST HARRISON, NY 10604-1508
(914) 997-2720
(212) 226-0134
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
166349-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01241423
—
NY
Enumeration date
04/03/2006
Last updated
11/06/2008
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