Individual
ATMAN BENGELOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
79 MIDDLEVILLE RD, VETERANS AFFAIRS MEDICAL CENTER, NORTHPORT, NY 11768-2290
(631) 261-4400
Mailing address
9 ARISTA DRIVE, DIX HILLS, NY 11746
(631) 870-0349
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
216491
NY
Other
Enumeration date
09/20/2006
Last updated
10/05/2010
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