Eldad S. Benmen M.d. P.c | |
26021 Union Tpke Glen Oaks NY 11004-1345 | |
(718) 347-4288 | |
(718) 347-7521 |
Full Name | Eldad S. Benmen M.d. P.c |
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Speciality | Clinic/Center |
Location | 26021 Union Tpke, Glen Oaks, New York |
Authorized Official Name and Position | Eldad S. Benmen (PRESIDENT) |
Authorized Official Contact | 7183474288 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eldad S. Benmen M.d. P.c 26021 Union Tpke Glen Oaks NY 11004-1345 Ph: (718) 347-4288 | Eldad S. Benmen M.d. P.c 26021 Union Tpke Glen Oaks NY 11004-1345 Ph: (718) 347-4288 |
NPI Number | 1043405640 |
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Provider Enumeration Date | 09/07/2007 |
Last Update Date | 09/07/2007 |
Medicare PECOS PAC ID | 2961495098 |
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Medicare Enrollment ID | O20040405001864 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043405640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Eldad S Benmen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912063819 PECOS PAC ID: 2163312604 Enrollment ID: I20040317001550 |
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