Individual
DR. JONATHAN STEVEN BENISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(516) 662-5801
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
064032-01
NY
Other
Enumeration date
04/26/2023
Last updated
05/01/2025
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