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Contact Information

MICHELLE A BENTLEY, PA
101 HOSPITAL RD
BROOKHAVEN MEMORIAL HOSPITAL
PATCHOGUE, NY11772-4870
 Phone: 631-687-4164
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHELLE A BENTLEY · (Female)

NPI Number 1508900218
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 02/16/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 009047
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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