# GARRETT H. BENNETT, MD, PC

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

## Provider details

- **NPI number:** 1619171964
- **Authorized official:** DR. GARRETT H. BENNETT M.D. (PRESIDENT)
- **Authorized official phone:** (212) 980-2600

## Contact information

- **Practice address:** 115 E 61ST ST, SUITE 7C, NEW YORK, NY 10065-8183
- **Practice address phone:** (212) 980-2600
- **Practice address fax:** (212) 991-3009
- **Mailing address:** 115 E 61ST ST, SUITE 7C, NEW YORK, NY 10065-8183
- **Mailing address phone:** (212) 980-2600
- **Mailing address fax:** (212) 991-3009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | 219211 | NY | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 219211 | NY | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 219211 | NY | Yes |

## Other

- **Enumeration date:** 06/12/2007
- **Last updated:** 08/17/2015