Individual
BENJAMIN J SUBTELNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3915 BROADWAY, NEW YORK, NY 10032-1565
(212) 567-5536
Mailing address
6040 BOULEVARD E APT 17G, WEST NEW YORK, NJ 07093-3841
(201) 509-5648
(973) 833-4177
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
22DI02801900
NJ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
22DI02801900
NJ
Other
Enumeration date
04/17/2020
Last updated
04/22/2026
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