| Edward S Bennett Md Pllc | |
|
13540 78th Dr Flushing NY 11367 | |
| (718) 380-0411 | |
| Not Available |
| Full Name | Edward S Bennett Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13540 78th Dr, Flushing, New York |
| Authorized Official Name and Position | Edward Bennett (PROVIDER AND OWNER) |
| Authorized Official Contact | 7183800411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward S Bennett Md Pllc 13540 78th Dr Flushing NY 11367-3236 Ph: () - | Edward S Bennett Md Pllc 13540 78th Dr Flushing NY 11367 Ph: (718) 380-0411 |
| NPI Number | 1770828162 |
|---|---|
| Provider Enumeration Date | 12/11/2012 |
| Last Update Date | 07/16/2018 |
| Medicare PECOS PAC ID | 4082869490 |
|---|---|
| Medicare Enrollment ID | O20130308000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770828162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Edward S Bennett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962424788 PECOS PAC ID: 4284648858 Enrollment ID: I20060202000764 |
| Provider Name | Leslie Bennett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487610556 PECOS PAC ID: 9234264664 Enrollment ID: I20100324000132 |
| Provider Name | David M Pinter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073812038 PECOS PAC ID: 9931369659 Enrollment ID: I20120404000312 |
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