Benisch, David Lance

Benisch, David Lance is an sole proprietor health care provider with primary practice located at 124 Main St Ste 16 , Huntington NY 11743-6922. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Benisch, David Lance can be contacted via phone (631) 423-7000.

Contact Information

Primary practice address
124 Main St Ste 16 Huntington NY 11743-6922
Phone: (631) 423-7000
Fax: (631) 423-9276
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 132568 New York
Other Service Providers / Specialist 174400000X 132568 New York

Profile Details

NPI number 1689604415
LBN Legal business name Benisch, David Lance
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2006
Last updated Nov 30th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689604415 NPPES
New York MEDICAID 00425470

Popular Providers