Organization
JACLYN BENZONI OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACLYN A BENZONI O.D. (CEO)
(516) 721-7003
Entity
Organization
Contact information
Practice address
2126 MERRICK MALL, MERRICK, NY 11566-3626
(516) 546-3227
Mailing address
2126 MERRICK MALL, MERRICK, NY 11566-3626
(516) 546-3227
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007403-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205065935
NPPES
NY
Enumeration date
09/16/2016
Last updated
03/31/2023
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