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Individual

DR. ROBERT MARC BERNHOLC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13 E GATE LN, SETAUKET, NY 11733-1645
(631) 941-9757
(631) 941-9757
Mailing address
13 E GATE LN, SETAUKET, NY 11733-1645
(631) 941-9757
(631) 941-9757

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1648481
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01099072
NY
01
22E41
EMPIRE BCBS
NY
01
4C4894
HEALTHNET PHS
NY
01
P00038511
PALMETTO GBA (RR MEDICARE
NY
01
P2172006
OXFORD
NY
Enumeration date
10/05/2005
Last updated
05/15/2008
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