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Steven Robert Benardo, dds

Dentist, General Practice in Huntington, NY. Individual provider (NPI-1).

NPI number1154400570
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1154400570
Entity type
Individual (NPI-1)
Name
Steven Robert Benardo
Credential
dds
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 5, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice041397NYYes

Practice location

205 E Main St
Ste 1-1
Huntington, NY 11743-2923

Phone 631-421-1818

Mailing address

205 E Main St
Ste 1-1
Huntington, NY 11743-2923

Phone 631-421-1818

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