Individual
EDWARD V BENNETT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 NEW SCOTLAND AVE # MC192, ALBANY, NY 12208-3403
(518) 262-9777
(518) 262-9778
Mailing address
50 NEW SCOTLAND AVE # MC192, ALBANY, NY 12208-3403
(518) 262-9777
(518) 262-9778
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
140950-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00803627
—
NY
Enumeration date
08/09/2005
Last updated
06/12/2013
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