Individual
AMIRA A BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2128
(718) 465-7500
Mailing address
17 LEGERE CT, WAPPINGERS FALLS, NY 12590-6460
(914) 320-0284
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
743903
NY
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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