Provider Demographics
NPI:1285335802
Name:AB NEW YORK MEDICAL PLLC
Entity type:Organization
Organization Name:AB NEW YORK MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AZRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BENAROYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-303-8008
Mailing Address - Street 1:50 CLINTON STREET SUITE 205-5
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-3908
Mailing Address - Country:US
Mailing Address - Phone:516-303-8008
Mailing Address - Fax:516-538-8988
Practice Address - Street 1:95 CLINTON
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-3908
Practice Address - Country:US
Practice Address - Phone:516-303-8008
Practice Address - Fax:516-538-8988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-10
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty