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NPI Code Detail

MEDICARE: ANN MARIE A BENTSI-ADDISON CNM

MEDICARE: ANN MARIE A BENTSI-ADDISON CNM
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
1207V00000XObstetrics & Gynecology PhysicianF000972NY

General Provider Information

NPI Number : 1871594515
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN MARIE A BENTSI-ADDISON CNM
Provider Business Mailing Address
First Line : 155 CRYSTAL RUN RD
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10941-4028
Country : US
Telephone Number : 845-703-6999
Fax Number :
Provider Business Practice Location Address
First Line : 155 CRYSTAL RUN RD
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10941-4028
Country : US
Telephone Number : 845-703-6999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 03/02/2016

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