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Individual

BENNETT MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3980 SHERIDAN DR, SUITE 200, AMHERST, NY 14226
(716) 250-2000
(716) 636-1365
Mailing address
3980 SHERIDAN DR, SUITE B, AMHERST, NY 14226-1727
(716) 250-2000
(716) 250-2040

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
224146
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0002636001
UNIVERA
NY
01
000919912002
BLUE CROSS & BLUE SHIELD
NY
01
000919912003
BLUE CROSS & BLUE SHIELD
NY
05
02389724
NY
01
040426002143
FIDELIS
NY
01
0511643
INDEPENDENT HEALTH
NY
01
P00062399
RAILROAD MEDICARE
NY
Enumeration date
12/15/2006
Last updated
05/29/2018
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