Bentley, Bernard Wesley

Bentley, Bernard Wesley is an individual health care provider with primary practice located at 4355 147Th St , Flushing NY 11355-1736. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bentley, Bernard Wesley can be contacted via phone (718) 762-0900.

Contact Information

Primary practice address
4355 147Th St Flushing NY 11355-1736
Fax: (718) 886-5659
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 192628 New York

Profile Details

NPI number 1992746044
LBN Legal business name Bentley, Bernard Wesley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Dec 11th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992746044 NPPES
New York MEDICAID 01849650
New York Other 10766740

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