Benyaminov, Gennadiy
Benyaminov, Gennadiy is an individual health care provider with primary practice located at 40 Robert Pitt Dr , Monsey NY 10952-3333. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Benyaminov, Gennadiy can be contacted via phone (845) 352-6800.Contact Information
Primary practice address
40 Robert Pitt Dr
Monsey NY 10952-3333
Phone: (845) 352-6800
Fax: (845) 770-3847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 485791 | New York |
Profile Details
| NPI number | 1740264753 |
|---|---|
| LBN Legal business name | Benyaminov, Gennadiy |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Jun 12th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740264753 | NPPES |
| New York | MEDICAID | 02129266 |
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