MEDICARE: ROBERT BENDES RN

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
1	163W00000X	Registered Nurse	400569	NY

General Provider Information

NPI Number	:	1548499080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT BENDES RN

Provider Business Mailing Address
First Line	:	721 W RIVER RD
Second Line	:
City	:	GRAND ISLAND
State	:	NY
Zip	:	14072-2500
Country	:	US
Telephone Number	:	716-773-7998
Fax Number	:

Provider Business Practice Location Address
First Line	:	2250 WEHRLE DR
Second Line	:	SUITE 1
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-7034
Country	:	US
Telephone Number	:	716-276-2123
Fax Number	:	716-276-2129

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2009
Last Update Date	:	07/06/2009

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