Healthcare Provider Details

I. General information

NPI: 1285048538
Provider Name (Legal Business Name): LUCAS MEIRA BENCHAYA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2014
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 CORBIN AVE
NEW BRITAIN CT
06053-2298
US

IV. Provider business mailing address

2150 CORBIN AVE
NEW BRITAIN CT
06053-2298
US

V. Phone/Fax

Practice location:
  • Phone: 860-612-6305
  • Fax: 860-612-6304
Mailing address:
  • Phone: 860-612-6305
  • Fax: 860-612-6304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number61811
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: