Organization
ALLEN J. BENNETT, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN BENNETT MD (PRESIDENT)
(212) 505-7660
Entity
Organization
Contact information
Practice address
39 GRAMERCY PARK N, SUITE 1B, NEW YORK, NY 10010-6302
(212) 505-7660
Mailing address
39 GRAMERCY PARK N, SUITE 1B, NEW YORK, NY 10010-6302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00480048
—
NY
Enumeration date
04/13/2010
Last updated
07/19/2010
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