Individual
DR. TAVYA BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2263
(516) 734-8500
Mailing address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1118
(516) 734-8500
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
316920-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2017
Last updated
06/30/2022
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