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Individual
DR. RICHARD G BENNETT
Active
Individual
DR. RICHARD G BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
205602-1
NY
2084P0805X
Geriatric Psychiatry Physician
205602-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020025801
UNIVERA
NY
01
—
000524673001
HEALTH NOW
NY
05
—
01735506
—
NY
01
—
1508963
IHA
NY
01
—
161000580
EMPIRE
NY
01
—
185386
COMPSYCH
NY
01
—
205602-6W
WORKERS COMPENSATION
NY
Enumeration date
04/19/2006
Last updated
01/10/2011
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