Beneditskiy, Igor

Beneditskiy, Igor is an sole proprietor health care provider with primary practice located at 2646 E 14Th St Unit 1M , Brooklyn NY 11235-3916. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Beneditskiy, Igor can be contacted via phone (718) 576-1212.

Contact Information

Primary practice address
2646 E 14Th St Unit 1M Brooklyn NY 11235-3916
Phone: (718) 576-1212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 237675 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 237675 New York

Profile Details

NPI number 1043396047
LBN Legal business name Beneditskiy, Igor
Credentials MD, DO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2006
Last updated Aug 3rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043396047 NPPES
New York MEDICAID 02810406

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