Provider Demographics
NPI:1144660408
Name:ARTHUR, BENJAMIN MENLAH (OD,MS)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:MENLAH
Last Name:ARTHUR
Suffix:
Gender:M
Credentials:OD,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:629 EASTERN PKWY
Mailing Address - Street 2:UNIT #M4 (202)
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-3354
Mailing Address - Country:US
Mailing Address - Phone:718-708-5360
Mailing Address - Fax:718-708-5361
Practice Address - Street 1:629 EASTERN PKWY
Practice Address - Street 2:UNIT #M4 (202)
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-3354
Practice Address - Country:US
Practice Address - Phone:718-708-5360
Practice Address - Fax:718-708-5361
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2022-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007997152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG400105830Medicare PIN