Bench, Travis James
Bench, Travis James is an individual health care provider with primary practice located at Hsc T16 080 , Stony Brook NY 11794-8167. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Bench, Travis James can be contacted via phone (631) 444-1060.Contact Information
Primary practice address
Hsc T16 080
Stony Brook NY 11794-8167
Phone: (631) 444-1060
Fax: (631) 444-1054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 00245267 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 245267 | New York |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 245267 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 006594 | New York |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 245267 | New York |
Profile Details
| NPI number | 1033142526 |
|---|---|
| LBN Legal business name | Bench, Travis James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Sep 8th, 2016 - about 8 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 | 1033142526 | NPPES |
| New York | MEDICAID | 03424935 | |
| New York | Other | 245267 |
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