Individual
DR. BENTO R MASCARENHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
77 PONDFIELD RD, BRONXVILLE, NY 10708-3809
(914) 337-5879
Mailing address
785 MAMARONECK AVE, WHITE PLAINS, NY 10605-2523
(914) 948-6405
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
107303
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107303
STATE LICENSE
NY
Enumeration date
03/28/2006
Last updated
02/06/2008
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