| Steven Ender Do Pllc | |
|
4250 Hempstead Tpke Suite 21 Bethpage NY 11714-5716 | |
| (516) 520-3962 | |
| (516) 520-3972 |
| Full Name | Steven Ender Do Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4250 Hempstead Tpke, Bethpage, New York |
| Authorized Official Name and Position | Steven Ender (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5165203913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Ender Do Pllc 4250 Hempstead Tpke Suite 21 Bethpage NY 11714-5716 Ph: (516) 520-3962 | Steven Ender Do Pllc 4250 Hempstead Tpke Suite 21 Bethpage NY 11714-5716 Ph: (516) 520-3962 |
| NPI Number | 1285897900 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 05/04/2009 |
| Medicare PECOS PAC ID | 7911072301 |
|---|---|
| Medicare Enrollment ID | O20080910000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285897900 | NPI | - | NPPES |
| 823N21 | Other | NY | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 171220-1 (New York) | Primary |
| Provider Name | Steven A Ender |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609875657 PECOS PAC ID: 9032168158 Enrollment ID: I20050115000041 |
| Provider Name | Kenneth Einberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972657534 PECOS PAC ID: 9436232576 Enrollment ID: I20080212000443 |
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