Individual
DANA M. BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
89 GENESEE ST, ROCHESTER, NY 14611-3201
(585) 368-6600
(585) 368-6622
Mailing address
89 GENESEE ST, ROCHESTER, NY 14611-3201
(585) 368-6600
(585) 368-6622
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
616031
NY
363LF0000X
Family Nurse Practitioner
Primary
337337
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03491430
—
NY
Enumeration date
08/28/2012
Last updated
04/27/2021
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