Bentsianov, Marie A
Bentsianov, Marie A is an sole proprietor health care provider with primary practice located at 40 W Brighton Ave Suite 103, Brooklyn NY 11224-4901. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Bentsianov, Marie A can be contacted via phone (718) 743-0464.Contact Information
Primary practice address
40 W Brighton Ave Suite 103
Brooklyn NY 11224-4901
Phone: (718) 743-0464
Fax: (718) 996-1123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 210753 | New York |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 210753 | New York |
Profile Details
| NPI number | 1285631101 |
|---|---|
| LBN Legal business name | Bentsianov, Marie A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jun 4th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285631101 | NPPES |
| New York | Other | P2908147 | OXFORD |
| New York | Other | 3399506 | OXFORD |
| New York | MEDICAID | 02359704 | OXFORD |
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