Provider Demographics
NPI:1922104744
Name:HAJDUK-BENNETT, ANN MARGARET (DO)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:MARGARET
Last Name:HAJDUK-BENNETT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:340 VETERANS MEMORIAL HWY
Mailing Address - Street 2:SUITE 10
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-4300
Mailing Address - Country:US
Mailing Address - Phone:631-864-6440
Mailing Address - Fax:631-864-6445
Practice Address - Street 1:340 VETERANS MEMORIAL HWY
Practice Address - Street 2:SUITE 10
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-4300
Practice Address - Country:US
Practice Address - Phone:631-864-6440
Practice Address - Fax:631-864-6445
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2011-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY224492208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics