Basic Information
Provider Information
NPI: 1861830754
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BENSHAR
FirstName: OREL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 300 COMMUNITY DR
Address2: NORTH SHORE UNIVERSITY HOSPITAL
City: MANHASSET
State: NY
PostalCode: 110303816
CountryCode: US
TelephoneNumber: 5165622945
FaxNumber: 5165620368
Practice Location
Address1: 3003 NEW HYDE PARK RD STE 401
Address2:  
City: NEW HYDE PARK
State: NY
PostalCode: 110421214
CountryCode: US
TelephoneNumber: 5162242400
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/12/2013
LastUpdateDate: 08/17/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/17/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X285177NYN Allopathic & Osteopathic PhysiciansHospitalist 
207R00000X285177NYY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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