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Individual

MICHAEL BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC.

Contact information

Practice address
10 E 39TH ST, 12TH FLOOR, NEW YORK, NY 10016-0111
(347) 565-4255
Mailing address
10 E 39TH ST, 12TH FLOOR, NEW YORK, NY 10016-0111
(347) 565-4255

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004141
NY

Other

Enumeration date
07/13/2016
Last updated
07/13/2016
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