Provider Demographics
NPI:1083504567
Name:NEW YORK AB MEDICAL, PLLC
Entity type:Organization
Organization Name:NEW YORK AB MEDICAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AZRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BENAROYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-406-4966
Mailing Address - Street 1:21757 KINGSBURY AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-3534
Mailing Address - Country:US
Mailing Address - Phone:917-406-4966
Mailing Address - Fax:
Practice Address - Street 1:160 E 56TH ST STE 402
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-3609
Practice Address - Country:US
Practice Address - Phone:347-720-5453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty