Individual
MRS. BABETTE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5705 ROUTE 96, ROMULUS, NY 14541-9551
(866) 810-0345
(607) 869-2121
Mailing address
5705 ROUTE 96, ROMULUS, NY 14541-9551
(866) 810-0345
(607) 869-2121
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
423556-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163W00000X
—
NY
Enumeration date
02/27/2015
Last updated
02/27/2015
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