| 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  |