Individual
SHAMYRA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 BROADWAY, PLEASANTVILLE, NY 10570-2346
(347) 672-6597
Mailing address
29 BROOKDALE RD, SEYMOUR, CT 06483-2403
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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