Individual
DR. BENJAMIN NIKNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-5382
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-5382
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
303702
NY
Other
Enumeration date
04/04/2016
Last updated
07/23/2021
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