MEDICARE: DR. JOSEPH M BEHRMAN

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	1223G0001X	General Practice Dentistry	038048	NY

General Provider Information

NPI Number	:	1760575419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH M BEHRMAN

Provider Business Mailing Address
First Line	:	1212 ROUTE 31
Second Line	:	P.O. BOX 862
City	:	MACEDON
State	:	NY
Zip	:	14502
Country	:	US
Telephone Number	:	315-986-3545
Fax Number	:	315-986-1074

Provider Business Practice Location Address
First Line	:	1212 ROUTE 31
Second Line	:
City	:	MACEDON
State	:	NY
Zip	:	14502
Country	:	US
Telephone Number	:	315-986-3545
Fax Number	:	315-986-1074

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	07/08/2007

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