Provider Demographics
NPI:1932143518
Name:BENKEL, SETH ADAM (MD)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:ADAM
Last Name:BENKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:20 GRAND STREET, 3RD FL
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-1035
Mailing Address - Country:US
Mailing Address - Phone:845-368-8500
Mailing Address - Fax:845-987-5979
Practice Address - Street 1:10 ESQUIRE RD
Practice Address - Street 2:SUITE 6
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3336
Practice Address - Country:US
Practice Address - Phone:845-634-2727
Practice Address - Fax:845-634-2882
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY222754207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02771277Medicaid
NYI59863Medicare UPIN
NY6Z5571Medicare ID - Type UnspecifiedPROVIDER ID#