Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 088119 | NY |
NPI | 1114956208 |
---|---|
Provider Name | Dr. Stuart Bednoff |
First Address | Avon, CT 06001-2066 |
Second Address | Great Neck, NY 11021-5100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2006 |
Last Update Date | 04/01/2011 |