Individual
DR. BENNETT S. PALLANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 KATHRYN LN, MAHOPAC, NY 10541
(914) 629-1124
(888) 876-4988
Mailing address
6 KATHRYN LN, MAHOPAC, NY 10541-4426
(914) 629-1124
(888) 876-4988
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
104254
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01181168
—
NY
01
—
33D0138103
CLIA
NY
Enumeration date
07/01/2005
Last updated
08/18/2018
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