OrganizationActive
21st Century Medical Plaza PC
NPI 1760627582 · Family Medicine Physician · Rego Park, NY
Provider details
- NPI number
- 1760627582
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Irina Benyaminova, President
- License
- 240556 (NY)
Mailing address
8716 63rd Dr
Rego Park, NY 11374-4826
Registry dates
- Enumerated
- 2008-12-08
- Last updated
- 2008-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.