Individual
MR. MITCH SAMUEL BENOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3000
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(718) 670-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
638707
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
147745
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
638707
NY
Other
Enumeration date
05/17/2021
Last updated
04/29/2026
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