Anthony Bennardo MD PC

NPI #1144381989 in Southold, New York

Provider Information

NPI Number: 1144381989
Entity Type: Organization
Organization Name: Anthony Bennardo MD PC
Primary Specialty: Specialist
Enumeration Date: Dec 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 54075 MAIN ROAD
City: Southold
State: New York
ZIP Code: 11971-0927
Phone: (631) 765-2995

Authorized Official

Name: ANTHONY BENNARDO, MD
Title: MD
Phone: (631) 765-2995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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