Healthcare Provider Details

I. General information

NPI: 1235055526
Provider Name (Legal Business Name): BIENSTOCK COSMETIC SURGERY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 CEDAR LN STE 203
WOODMERE NY
11598-1211
US

IV. Provider business mailing address

1015 CEDAR LN STE 203
WOODMERE NY
11598-1211
US

V. Phone/Fax

Practice location:
  • Phone: 516-569-6311
  • Fax:
Mailing address:
  • Phone: 516-569-6311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL BIENSTOCK
Title or Position: OWNER
Credential: MD
Phone: 516-569-6311