Nir Benshoshan
Individual provider Active NPI Specialist · Bellmore, NY
NPI 1740773233 · NPPES record last updated Jun 11, 2018
Key facts
- NPI
- 1740773233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 2611 Merrick Rd
#904
Bellmore, NY 11710 - Phone
- (917) 805-2472
- NPI assigned
- Jun 11, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ei Kid Unlimited N.B.S. Corp | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
2611 Merrick Rd
#904
Bellmore, NY 11710
Mailing address
2611 Merrick Rd
#955
Bellmore, NY 11710
Phone (917) 805-2472
Other providers in Bellmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.