Individual
AIDA V BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
355 BARD AVE, MEDICINE, STATEN ISLAND, NY 10310-1664
(718) 818-4570
(718) 818-3740
Mailing address
450 W 33RD ST, PBS 12 TH FLOOR, NEW YORK, NY 10001-2603
(212) 356-4474
(212) 356-4608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
187726
NY
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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