Individual
ANTHONY P BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2231 BURDETT AVE STE 230, TROY, NY 12180
(518) 272-1333
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
229456
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000076448
GHI HMO #
—
05
—
02491927
—
NY
01
—
100783615671
CDPHP GROUP #
—
01
—
1099291
GHI PPO#
—
01
—
71021424811
MVP VENDOR #
—
01
—
AB035R241
DOWN MEDICARE
—
01
—
P00063770
RR MEDICARE
—
Enumeration date
04/22/2006
Last updated
05/06/2021
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