Individual
DENNIS BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
20 HAGEN DR STE 220, ROCHESTER, NY 14625-2666
(585) 922-9770
(585) 922-9777
Mailing address
20 HAGEN DR STE 220, ROCHESTER, NY 14625-2666
(585) 922-9770
(585) 922-9777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0026531
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355266
—
NY
01
—
109301BJ
PREFERRED CARE
NY
01
—
11564228
CAQH
NY
01
—
9514078
IHA
NY
01
—
970028207
MEDICARE RAILROAD
NY
01
—
P019002653
BLUE CHOICE
NY
Enumeration date
05/03/2006
Last updated
01/05/2010
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