| Sherwin Benlevi Dds Pc | |
|
1623 3rd Ave Ste 204 New York NY 10128-3638 | |
| (212) 722-4088 | |
| Not Available |
| Full Name | Sherwin Benlevi Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 1623 3rd Ave Ste 204, New York, New York |
| Authorized Official Name and Position | Sherwin Benlevi (PRESIDENT) |
| Authorized Official Contact | 3478782482 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherwin Benlevi Dds Pc 1623 3rd Ave Suite 204 New York NY 10128 Ph: (212) 722-4088 | Sherwin Benlevi Dds Pc 1623 3rd Ave Ste 204 New York NY 10128-3638 Ph: (212) 722-4088 |
| NPI Number | 1861845265 |
|---|---|
| Provider Enumeration Date | 07/20/2016 |
| Last Update Date | 07/20/2016 |
| Medicare PECOS PAC ID | 4587073937 |
|---|---|
| Medicare Enrollment ID | O20210514001402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861845265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 054927 (New York) | Primary |
| Provider Name | Sherwin Benlevi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1558675686 PECOS PAC ID: 7618272816 Enrollment ID: I20200609002932 |
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