Provider Demographics
NPI:1558675686
Name:BENLEVI, SHERWIN (DDS)
Entity type:Individual
Prefix:DR
First Name:SHERWIN
Middle Name:
Last Name:BENLEVI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19325 85TH RD
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423-1133
Mailing Address - Country:US
Mailing Address - Phone:347-878-2482
Mailing Address - Fax:
Practice Address - Street 1:19325 85TH RD
Practice Address - Street 2:
Practice Address - City:HOLLIS
Practice Address - State:NY
Practice Address - Zip Code:11423-1133
Practice Address - Country:US
Practice Address - Phone:347-878-2482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY05472911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice