ANTHONY BENNARDO MD PC NPI 1144381989

NPI Information

ANTHONY BENNARDO MD PC is a specialist in Southold, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ANTHONY BENNARDO MD PC NPI is 1144381989. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

54075 MAIN ROAD
SOUTHOLD, NY
ZIP 11971-927
Phone: (631) 765-2995
Fax: (631) 765-9533

The provider's authorized official is Anthony Bennardo .
The authorized official title is Md and has the following contact phone number (631) 765-2995.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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