Individual provider · Type 1 NPI

Elaine Bender

Nurse Practitioner · Port Jefferson, NY

NPI number 1972684801 Active

Practice location

75 N Country Rd
Port Jefferson, NY 11777-2119

Call (631) 473-1320 Map

Fax (631) 476-2339

Mailing address

28 Birchwood Drive
Port Jefferson, NY 11777-2316

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XF300912 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1972684801

Elaine Bender's National Provider Identifier is 1972684801, issued on Oct 18, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Port Jefferson, NY. The record was last updated on Oct 28, 2015.