MEDICARE: DR. MARC L BENDETH DPM

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	213EP1101X	Primary Podiatric Medicine Podiatrist	N002369-1	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1181270001	OTHER	NY	MEDICARE NCS
3	480911059	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1700889136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC L BENDETH DPM

Provider Business Mailing Address
First Line	:	1226 W BROADWAY
Second Line	:
City	:	HEWLETT
State	:	NY
Zip	:	11557-1923
Country	:	US
Telephone Number	:	516-374-4444
Fax Number	:	516-374-4445

Provider Business Practice Location Address
First Line	:	1226 W BROADWAY
Second Line	:
City	:	HEWLETT
State	:	NY
Zip	:	11557-1923
Country	:	US
Telephone Number	:	516-374-4444
Fax Number	:	516-374-4445

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	04/24/2008

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