Individual
MASSOUD BENHURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACP
Contact information
Practice address
1025 N BROADWAY, NORTH MASSAPEQUA, NY 11758
(516) 224-9313
(516) 249-2240
Mailing address
161 STATION RD, KINGS POINT, NY 11024
(516) 773-4178
(516) 249-2240
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
175748
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01096657
—
NY
Enumeration date
10/23/2006
Last updated
07/08/2007
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