| Dr Peter Allerton Benedict, MD | |
|
1 Teleport Dr Ste 200, Staten Island, NY 10311-1000 | |
| (718) 370-0072 | |
| (718) 370-6733 |
| Full Name | Dr Peter Allerton Benedict |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 1 Teleport Dr Ste 200, Staten Island, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326536285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 330719 (New York) | Primary |
| 207Y00000X | Otolaryngology | MD480474 (Pennsylvania) | Secondary |
| Entity Name | Jefferson University Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter Allerton Benedict, MD 660 White Plains Rd Ste 400, Tarrytown, NY 10591-5107 Ph: (914) 984-2546 | Dr Peter Allerton Benedict, MD 1 Teleport Dr Ste 200, Staten Island, NY 10311-1000 Ph: (718) 370-0072 |
Helen Hyosun Kim, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1414 Victory Boulevard, Staten Island, NY 10301 Phone: 718-447-1261 Fax: 718-981-1856 | |
Dr. Homer Moutran, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 378 Seaview Ave Ste 2, Staten Island, NY 10305 Phone: 718-226-6110 | |
Michael Amato, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1 Teleport Dr Ste 200, Staten Island, NY 10311 Phone: 718-370-0072 Fax: 718-370-6733 | |
Kenneth Wooh, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 256 Mason Ave, Staten Island, NY 10305 Phone: 718-226-5921 Fax: 718-226-6531 | |
Dr. Bartolomeo Vincent Castellano, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2052 Richmond Rd, 1c, Staten Island, NY 10306 Phone: 718-273-2626 Fax: 718-420-1289 | |
John P Dodaro, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1 Teleport Dr Ste 200, Staten Island, NY 10311 Phone: 718-370-0072 |