Individual
SANTO WILLIAM BENTIVEGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
780 BLOSSOM RD, ROCHESTER, NY 14610
(585) 288-2420
(585) 288-2426
Mailing address
780 BLOSSOM RD, ROCHESTER, NY 14610
(585) 288-2420
(585) 288-2426
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0008122
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100256FC
PREFERRED CARE
NY
01
—
7896311
AETNA
—
01
—
PO10008122
BLUE CHOICE
NY
Enumeration date
07/12/2006
Last updated
07/08/2007
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