Provider Demographics
NPI:1861869372
Name:BENSON INTEGRATIVE ACUPUNCTURE CARE PC
Entity type:Organization
Organization Name:BENSON INTEGRATIVE ACUPUNCTURE CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:BIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LAC
Authorized Official - Phone:917-667-7088
Mailing Address - Street 1:7804 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-1604
Mailing Address - Country:US
Mailing Address - Phone:917-667-7088
Mailing Address - Fax:
Practice Address - Street 1:321 E 48TH ST FRNT 1E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1749
Practice Address - Country:US
Practice Address - Phone:718-690-1199
Practice Address - Fax:929-296-7700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-01
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04790OtherLICENSE