Individual
DR. LEAH M BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 EAST ADAMS STREET, SYRACUSE, NY 13210-2306
(315) 464-4363
(315) 464-8690
Mailing address
251 SALINA MEADOWS PKWY, SUITE 100, SYRACUSE, NY 13212-4516
(315) 464-2096
(315) 646-2010
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
278252
NY
207P00000X
Emergency Medicine Physician
R71704
AZ
208000000X
Pediatrics Physician
R71704
AZ
Other
Enumeration date
07/26/2009
Last updated
08/18/2015
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