Edelheit, Phyllis Bender

Edelheit, Phyllis Bender is an sole proprietor health care provider with primary practice located at 212 South St , Oyster Bay NY 11771-2222. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Edelheit, Phyllis Bender can be contacted via phone (516) 624-2330.

Contact Information

Primary practice address
212 South St Oyster Bay NY 11771-2222
Phone: (516) 624-2330
Fax: (516) 922-2893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 189417 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 189417 New York

Profile Details

NPI number 1629104021
LBN Legal business name Edelheit, Phyllis Bender
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Apr 13th, 2015 - about 9 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 1629104021 NPPES
New York MEDICAID 189417

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