Search › Pennsylvania › 152W00000X
Eric Bennicoff
NPI 1396185757 · on the registry since 2013
Practice
- Address
- 208 Main St
Stroudsburg, PA 18360 - Phone
- (570) 476-1114
- Organisation at this address
- Anthony S. Diecidue, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-07-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania