Bedford Center LLC

NPI #1083472419 in Syosset, New York

Provider Information

NPI Number: 1083472419
Entity Type: Organization
Organization Name: Bedford Center LLC
Primary Specialty: Specialist
Enumeration Date: Mar 11, 2024
Last Updated: Mar 11, 2024

Practice Location

Address: 15 WOODCREST DR
City: Syosset
State: New York
ZIP Code: 11791-3036
Phone: (718) 552-2070

Authorized Official

Name: DEVENDRA SHRIVASTAVA
Title: PRACTICE MANAGER
Phone: (718) 552-2070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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