Provider Demographics
NPI:1952786378
Name:BENEDEK, DAN (OPA-C/OSA-C)
Entity Type:Individual
Prefix:MR
First Name:DAN
Middle Name:
Last Name:BENEDEK
Suffix:
Gender:M
Credentials:OPA-C/OSA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4310 64TH ST FL 1
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-5049
Mailing Address - Country:US
Mailing Address - Phone:347-849-8051
Mailing Address - Fax:
Practice Address - Street 1:95 UNIVERSITY PL FL 8
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4515
Practice Address - Country:US
Practice Address - Phone:212-604-1340
Practice Address - Fax:212-604-1338
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYO000178246ZX2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZX2200XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherOrthopedic Assistant