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Individual

JOEL BENOWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 N VILLAGE AVE, ROCKVILLE CENTRE, NY 11570-1000
(516) 889-9100
(516) 889-9108
Mailing address
978 GERRY AVE, LIDO BEACH, NY 11561-5217
(516) 889-9100
(516) 889-9108

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
133808
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00603989
NY
Enumeration date
08/10/2006
Last updated
12/19/2016
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