Individual
DR. GREGORY JOHN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18 LIMESTONE DR, SUITE 2, WILLIAMSVILLE, NY 14221-8602
(716) 932-7170
(716) 932-7173
Mailing address
PO BOX 439, WEST FALLS, NY 14170-0439
(716) 932-7170
(716) 932-7173
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
141010
NY
Other
Enumeration date
07/07/2006
Last updated
08/09/2011
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