Individual
JEREMY MARK BIENENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 E 233RD ST, BRONX, NY 10466-2604
(718) 920-9177
Mailing address
1991 MARCUS AVE STE M200, NEW HYDE PARK, NY 11042-3000
(516) 204-4242
(347) 236-3163
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
027189
NY
Other
Enumeration date
12/19/2019
Last updated
01/13/2026
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