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Individual

DR. DONALD BENTROVATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
713 TROY SCHENECTADY RD, SUITE 124, LATHAM, NY 12110-2490
(518) 262-3341
(518) 262-6660
Mailing address
711 TROY SCHENECTADY RD, SUITE 203, LATHAM, NY 12110-2442
(518) 782-3700
(518) 782-3799

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
125931
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00922927
NY
Enumeration date
07/04/2006
Last updated
02/01/2012
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