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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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 1285631101 NPPES
New York Other P2908147 OXFORD
New York Other 3399506 OXFORD
New York MEDICAID 02359704 OXFORD

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