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1972684801
ELAINE BENDER
PORT JEFFERSON, NY
NPI
1972684801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY F300912)
Enumeration Date
2006-10-18
Last Update Date
2015-10-28
Business Address
-- ELAINE BENDER
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-473-1320
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Mailing Address
-- ELAINE BENDER
28 BIRCHWOOD DRIVE
PORT JEFFERSON, NY 11777-2316
Phone number: 631-473-1320
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