Provider Demographics
NPI:1811073893
Name:BESSEN, HERBERT (MD)
Entity type:Individual
Prefix:
First Name:HERBERT
Middle Name:
Last Name:BESSEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:THE BARNES OFFICE CENTER
Mailing Address - Street 2:STONELEIGH AVE 112 F
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512
Mailing Address - Country:US
Mailing Address - Phone:845-279-2828
Mailing Address - Fax:845-277-3606
Practice Address - Street 1:THE BARNES OFFICE CENTER
Practice Address - Street 2:STONELEIGH AVE 112 F
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512
Practice Address - Country:US
Practice Address - Phone:845-279-2828
Practice Address - Fax:845-277-3606
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY088120207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
B15525Medicare UPIN
NY49961100Medicare ID - Type Unspecified