Organization
DAVID L BENISCH, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LANCE BENISCH MD (PRESIDENT)
(631) 423-7000
Entity
Organization
Contact information
Practice address
124 MAIN ST, SUITE 16, HUNTINGTON, NY 11743-6922
(631) 423-7000
(631) 423-9276
Mailing address
124 MAIN ST, SUITE 16, HUNTINGTON, NY 11743-6922
(631) 423-7000
(631) 423-9276
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00425470
—
NY
Enumeration date
04/28/2008
Last updated
07/11/2008
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