Individual
BENNIE W CHILES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 N CENTRAL AVE, SUITE 235, HARTSDALE, NY 10530-1832
(914) 332-0396
(914) 468-8895
Mailing address
PO BOX 957, HARTSDALE, NY 10530-0957
(914) 332-0396
(914) 468-8895
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
193451
NY
Other
Enumeration date
08/25/2006
Last updated
08/22/2023
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