Individual
MICHELLE LEE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
82 NASSAU ST # 60518, NEW YORK, NY 10038-3703
(917) 746-2455
(917) 746-9649
Mailing address
82 NASSAU ST # 60518, NEW YORK, NY 10038-3703
(917) 746-2455
(917) 746-9649
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
290297-1
NY
Other
Enumeration date
02/23/2006
Last updated
10/27/2025
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