Provider Demographics
NPI:1780658385
Name:BENOVITZ, HARVEY L (MD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:L
Last Name:BENOVITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 CENTRAL PARK W
Mailing Address - Street 2:SUITE 14
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4198
Mailing Address - Country:US
Mailing Address - Phone:212-877-2100
Mailing Address - Fax:212-873-9311
Practice Address - Street 1:115 CENTRAL PARK W
Practice Address - Street 2:SUITE 14
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4198
Practice Address - Country:US
Practice Address - Phone:212-877-2100
Practice Address - Fax:212-873-9311
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY098603207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY513351Medicare ID - Type Unspecified
NYB15792Medicare UPIN