Organization
ANTHONY BENNARDO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY BENNARDO MD (MD)
(631) 765-2995
Entity
Organization
Contact information
Practice address
54075 MAIN ROAD, SOUTHOLD, NY 11971-0927
(631) 765-2995
(631) 765-9533
Mailing address
PO BOX 927, SOUTHOLD, NY 11971-0927
(631) 765-2995
(631) 765-9533
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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