Provider Demographics
NPI:1508832031
Name:BIENENFELD, LAURA A (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:A
Last Name:BIENENFELD
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:201 WATERSIDE PROFESSIONAL PARK
Mailing Address - Street 2:NYU LANGONE INTERNAL MEDICINE AT HUDSON VALLEY
Mailing Address - City:PUTNAM VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10579
Mailing Address - Country:US
Mailing Address - Phone:914-528-8808
Mailing Address - Fax:914-528-7218
Practice Address - Street 1:201 WATERSIDE PROFESSIONAL PARK
Practice Address - Street 2:NYU LANGONE INTERNAL MEDICINE AT HUDSON VALLEY
Practice Address - City:PUTNAM VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10579
Practice Address - Country:US
Practice Address - Phone:914-528-8808
Practice Address - Fax:914-528-7218
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY204217207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBB5920930OtherDEA