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Individual

DR. BENSON GO ONGHAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
285 SILLS RD BLDG 4D, EAST PATCHOGUE, NY 11772-4857
(631) 398-4797
Mailing address
PO BOX 711, EAST SETAUKET, NY 11733-0770
(631) 398-4797

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
216060
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02059561
NY
01
0388J1
EMPIRE BC.BS
NY
01
7208093
AETNA
NY
Enumeration date
05/30/2006
Last updated
10/07/2023
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