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Individual

CAROLINE THERESA BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
379 MOONEY POND RD, SELDEN, NY 11784-3416
(631) 696-0911
Mailing address
9 PEACOCK RD, ROCKY POINT, NY 11778-9448
(631) 398-2077

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
504185-01
NY
163W00000X
Registered Nurse
Primary
504185-1
NY
163WH0200X
Home Health Registered Nurse
504185-01
NY

Other

Enumeration date
05/22/2007
Last updated
01/19/2023
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