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NPI Code Detail

MEDICARE: DR. ANNA LEV BENTSIANOV M.D.

MEDICARE:  DR. ANNA LEV BENTSIANOV  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician202022NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669432746
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANNA LEV BENTSIANOV M.D.
Provider Business Mailing Address
First Line : 40 W BRIGHTON AVE STE 103
Second Line : SUITE 1E
City : BROOKLYN
State : NY
Zip : 11224-4901
Country : US
Telephone Number : 718-996-2260
Fax Number : 718-996-1123
Provider Business Practice Location Address
First Line : 40 W BRIGHTON AVE STE 103
Second Line : SUITE 1E
City : BROOKLYN
State : NY
Zip : 11224-4901
Country : US
Telephone Number : 718-996-2260
Fax Number : 718-996-1123
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 03/13/2017

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Directions to “ DR. ANNA LEV BENTSIANOV M.D.” Practice Location

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