Organization
BENARDOT PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LISA A GUIFFRIDA CPC (OFFICE MANAGER/BILLING SPECIALIST)
(518) 483-5800
Entity
Organization
Contact information
Practice address
58 ELM ST, MALONE, NY 12953-1507
(518) 483-5800
(518) 483-1113
Mailing address
58 ELM STREET, MALONE, NY 12953
(518) 483-5800
(481) 483-1113
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
229747
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02459965
—
NY
Enumeration date
06/13/2006
Last updated
06/09/2022
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