| Michael Benhuri Md Pc | |
|
1025 N Broadway N Massapequa NY 11758-2120 | |
| (516) 249-3138 | |
| Not Available |
| Full Name | Michael Benhuri Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1025 N Broadway, N Massapequa, New York |
| Authorized Official Name and Position | Massoud Benhuri (PRESIDENT) |
| Authorized Official Contact | 5162493138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Benhuri Md Pc 1025 N Broadway N Massapequa NY 11758-2120 Ph: (516) 249-3138 | Michael Benhuri Md Pc 1025 N Broadway N Massapequa NY 11758-2120 Ph: (516) 249-3138 |
| NPI Number | 1902102627 |
|---|---|
| Provider Enumeration Date | 01/27/2011 |
| Last Update Date | 01/27/2011 |
| Medicare PECOS PAC ID | 6507040664 |
|---|---|
| Medicare Enrollment ID | O20110414000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902102627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 175748 (New York) | Primary |
| Provider Name | Massoud K Benhuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861575136 PECOS PAC ID: 6305020462 Enrollment ID: I20110414000168 |
Island Family Medical Practice, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 848 Hicksville Rd, N Massapequa, NY 11758 Phone: 516-731-3210 Fax: 516-731-3886 |