Individual
CHERYL BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
830 SOUTH ST, APT. 3D, PEEKSKILL, NY 10566-7413
(845) 667-4181
Mailing address
830 SOUTH ST, APT. 3D, PEEKSKILL, NY 10566-7413
(845) 667-4181
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201458
NY
164W00000X
Licensed Practical Nurse
204158
NY
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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