Healthcare Provider Details

I. General information

NPI: 1568545952
Provider Name (Legal Business Name): BENZION BENATAR MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2631 MERRICK ROAD SUITE 303
BELLMORE NY
11710-5784
US

IV. Provider business mailing address

2631 MERRICK ROAD SUITE 303
BELLMORE NY
11710-5784
US

V. Phone/Fax

Practice location:
  • Phone: 516-785-5350
  • Fax: 516-785-4530
Mailing address:
  • Phone: 516-785-5350
  • Fax: 516-785-4530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number186898
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number086503
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number186811
License Number StateNY

VIII. Authorized Official

Name: BENZION BENATAR
Title or Position: OWNER PHYSICIAN
Credential: MD
Phone: 516-785-5350