Individual
BENOIT R BEWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 COLUMBIA ST, SUITE 200, POUGHKEEPSIE, NY 12601-3923
(845) 473-1188
Mailing address
1351 ROUTE 55, SUITE 101, LAGRANGEVILLE, NY 12540-5108
(845) 475-9500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
266191
NY
207RC0000X
Cardiovascular Disease Physician
Primary
266191
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04466919
—
NY
Enumeration date
03/19/2010
Last updated
12/29/2016
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