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James Bedell, PA

Physician Assistant in West Islip, NY. Individual provider (NPI-1).

NPI number1720002454
StatusActive
Last updated in NPPESFeb 13, 2009

Details

NPI
1720002454
Entity type
Individual (NPI-1)
Name
James Bedell
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Jul 26, 2006
Last updated
Feb 13, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant006556NYYes

Practice location

1000 Montauk Hwy
West Islip, NY 11795-4927

Phone 631-376-3000

Mailing address

Po Box 6010
Hauppauge, NY 11788-9010

Phone 631-232-4000 · Fax 631-851-9225

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