Individual
BEN BRISTOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
424 MANVILLE RD APT 2, PLEASANTVILLE, NY 10570-2848
(120) 324-1496
Mailing address
424 MANVILLE RD APT 2, PLEASANTVILLE, NY 10570-2848
(203) 241-4961
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
246152
NY
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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