Benardot Pediatrics, Pllc in Malone - Specialist

Benardot Pediatrics, Pllc - NPI 1730122359

Benardot Pediatrics, Pllc is a Specialist in Malone, New York. Benardot Pediatrics, Pllc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Benardot Pediatrics, Pllc is 1730122359. The last update date is 2022-06-09.

Benardot Pediatrics, Pllc's current location address is 58 Elm Street, Malone, New York. You can contact this provider via phone number 5184835800 and fax number 4814831113. The mailing address for Benardot Pediatrics, Pllc is 58 Elm Street, Malone, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Benardot Pediatrics, Pllc
Address 58 Elm Street, Malone, New York
Phone Number 5184835800
Fax Number 4814831113
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Guiffrida A Lisa
Credentials CPC
Telephone Number 5184835800

NPI Number Detail

NPI Number 1730122359
Provider Enumeration Date 2006-06-13
Last Updated Date 2022-06-09

Provider Mailing Address Detail

Address 58 Elm Street
City Malone
State New York (NY)
Post Code 12953
Phone Number 5184835800
Fax Number 4814831113

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 229747
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2459965 NY --

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FAQs about Benardot Pediatrics, Pllc

What is the unique provider identifier assigned to Benardot Pediatrics, Pllc?

The Benardot Pediatrics, Pllc has been issued the NPI (National Provider Identifier) 1730122359 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Benardot Pediatrics, Pllc is physically located?

The Benardot Pediatrics, Pllc is situated at the following address: 58 Elm Street, Malone, NY 12953.

What is Benardot Pediatrics, Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Benardot Pediatrics, Pllc's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

When did Benardot Pediatrics, Pllc receive its 1730122359 assignment?

The Benardot Pediatrics, Pllc was assigned its 1730122359 on 2006-06-13, which is the date when this unique identifier was issued to the organization.

When was the information related to Benardot Pediatrics, Pllc most recently updated or refreshed?

The details pertaining to the Benardot Pediatrics, Pllc, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-06-09.

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