Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 031770 | NY |
NPI | 1194840264 |
---|---|
Provider Name | Dr. Marc Nasser Benhuri |
First Address | New York, NY 10019-3406 |
Second Address | New York, NY 10019-3406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 08/07/2007 |