Individual
DR. BENOIT ALBERT TONNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2546 BALLTOWN RD, SUITE 200, SCHENECTADY, NY 12309-1079
(518) 374-1444
(518) 374-0491
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
214326
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000492899001
BSNENY
NY
05
—
02047634
—
NY
01
—
050323000046
FIDELIS
NY
01
—
10031103
CDPHP
NY
01
—
11411
MVP
NY
01
—
200196
SENIOR WHOLE HELATH
NY
01
—
47364
GHI/HMO
NY
01
—
59N841
EMPIRE BC
NY
01
—
7968646
AETNA
NY
Enumeration date
06/25/2006
Last updated
01/31/2018
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