Provider Demographics
NPI:1699849984
Name:BENEDIKT, HOWARD (DC)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:
Last Name:BENEDIKT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 E 41ST ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6222
Mailing Address - Country:US
Mailing Address - Phone:212-213-4574
Mailing Address - Fax:212-684-1521
Practice Address - Street 1:18 E 41ST ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6222
Practice Address - Country:US
Practice Address - Phone:212-213-4574
Practice Address - Fax:212-213-4574
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX001918-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX12141Medicare ID - Type Unspecified
NYX12141Medicare UPIN