# LESLIE BENNETT MDPC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518281328
- **Authorized official:** DR. LESLIE BENNETT MD (PRESIDENT)
- **Authorized official phone:** (718) 380-0411

## Contact information

- **Practice address:** 13540 78TH DR, FLUSHING, NY 11367-3236
- **Practice address phone:** (718) 380-0411
- **Practice address fax:** (718) 380-0411
- **Mailing address:** 13540 78TH DR, FLUSHING, NY 11367-3236
- **Mailing address phone:** (718) 380-0411
- **Mailing address fax:** (718) 380-1436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | 120795 | NY | Yes |

## Other

- **Enumeration date:** 03/23/2010
- **Last updated:** 03/23/2010