Leonard A Benedict, M.D, MPH
Individual provider Active NPI Specialist · Uniondale, NY
NPI 1902996952 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1902996952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 126941 (NY)
- Practice address
- 433 Uniondale Ave
Uniondale, NY 11553-2232 - Phone
- (516) 483-8798
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 126941 | NY | Yes |
Addresses
Primary practice location
433 Uniondale Ave
Uniondale, NY 11553-2232
Mailing address
498 Deer Park Rd
Dix Hills, NY 11746-5237
Phone (631) 499-9099
Other providers in Uniondale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.