Gervacio, Benclement

Gervacio, Benclement is an individual health care provider with primary practice located at 3722 82Nd St , Jackson Heights NY 11372-7040. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gervacio, Benclement can be contacted via phone (718) 932-1000.

Contact Information

Primary practice address
3722 82Nd St Jackson Heights NY 11372-7040
Phone: (718) 932-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 276622 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 276622 New York

Profile Details

NPI number 1992096572
LBN Legal business name Gervacio, Benclement
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2011
Last updated Feb 9th, 2023 - about last year

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 1992096572 NPPES
New York Other 276622 MEDICAL LICENSE

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