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NPI Code Detail

MEDICARE: DR. DAVID J BENELIYAHU D.C.

MEDICARE: DR. DAVID J BENELIYAHU D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor3314NY

General Provider Information

NPI Number : 1194725770
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID J BENELIYAHU D.C.
Provider Business Mailing Address
First Line : 636 MIDDLE COUNTRY RD
Second Line :
City : SELDEN
State : NY
Zip : 11784-2500
Country : US
Telephone Number : 631-736-4414
Fax Number : 631-736-7490
Provider Business Practice Location Address
First Line : 636 MIDDLE COUNTRY RD
Second Line :
City : SELDEN
State : NY
Zip : 11784-2500
Country : US
Telephone Number : 631-736-4414
Fax Number : 631-736-7490
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 07/08/2007

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